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
LAST UPDATED 2024-02-17 20:20:12 UTC
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