License holder summary

BLAKE DANIEL ALEXANDER is a Board Of Medicine licensed to practice in Idaho. The address on file for BLAKE DANIEL ALEXANDER is PO BOX 4908 POCATELLO ID 83205. This licensed professional license is not current. The license was granted 06/02/2001 and expired on 06/30/2007.

Idaho

Division of Occupational and Professional Licenses

BLAKE DANIEL ALEXANDER
Board Of Medicine
License number
M-8227
Date granted
06/02/2001
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 4908 POCATELLO ID 83205
idaholicensing.com
ID 48335504
LAST UPDATED 2024-03-29 22:42:10 UTC

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