License holder summary

BLAKE PATRICK SAMPSON is a Board Of Medicine licensed to practice in Idaho. The address on file for BLAKE PATRICK SAMPSON is 9194 W CALICO BOISE ID 83709. This licensed professional license is not current. The license was granted 05/15/2013 and expired on 06/30/2014.

Idaho

Division of Occupational and Professional Licenses

BLAKE PATRICK SAMPSON
Board Of Medicine
License number
MRM-1316
Date granted
05/15/2013
Date expires
06/30/2014
Class
Board Of Medicine
Status
Expired
Address
9194 W CALICO BOISE ID 83709
idaholicensing.com
ID 48359487
LAST UPDATED 2024-02-10 06:55:11 UTC

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