License holder summary

BLAINE B JORGENSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for BLAINE B JORGENSEN is 1569 Tanner St Pocatello ID 83202. This licensed professional license is not current. The license was granted 07/12/1954.

Idaho

Division of Occupational and Professional Licenses

BLAINE B JORGENSEN
Board Of Medicine
License number
M-2255
Date granted
07/12/1954
Class
Board Of Medicine
Status
Deceased
Address
1569 Tanner St Pocatello ID 83202
idaholicensing.com
ID 48350895
LAST UPDATED 2024-04-08 12:17:35 UTC

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