Idaho
Division of Occupational and Professional Licenses
BLANE ANTHONY WOODFIN
Board Of Medicine
License number
M-8475
Date granted
04/01/2002
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
555 East Broadway Jackson WY 83001
idaholicensing.com
ID 48345006
LAST UPDATED 2024-05-11 10:12:58 UTC
LAST UPDATED 2024-05-11 10:12:58 UTC
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