Idaho
Division of Occupational and Professional Licenses
BLAINE PAUL GIBBY
Board Of Medicine
License number
MSM-0704
Date granted
06/28/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
1845 N JEREMY ST WICHITA KS 67203
idaholicensing.com
ID 48340259
LAST UPDATED 2024-03-02 05:33:16 UTC
LAST UPDATED 2024-03-02 05:33:16 UTC
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