Idaho
Division of Occupational and Professional Licenses
BLAKE VON CHAMBERLAIN
Board Of Medicine
License number
M-6397
Date granted
12/04/1993
Date expires
07/02/1998
Class
Board Of Medicine
Status
Canceled
Address
2830 Redland Crk San Antonio TX 78259
idaholicensing.com
ID 48334866
LAST UPDATED 2024-03-13 02:46:41 UTC
LAST UPDATED 2024-03-13 02:46:41 UTC
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