License holder summary

BLAINE LEE MASSEY is a Board Of Medicine licensed to practice in Idaho. The address on file for BLAINE LEE MASSEY is 2440 MOUNTAIN RIVER DR LEBANON OR 97355. This licensed professional license is not current. The license was granted 02/24/2016 and expired on 06/30/2016.

Idaho

Division of Occupational and Professional Licenses

BLAINE LEE MASSEY
Board Of Medicine
License number
MSO-0181
Date granted
02/24/2016
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
2440 MOUNTAIN RIVER DR LEBANON OR 97355
idaholicensing.com
ID 48337993
LAST UPDATED 2024-02-17 20:20:12 UTC

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