License holder summary

BRENT ALAN BLUE is a Board Of Medicine licensed to practice in Idaho. The address on file for BRENT ALAN BLUE is Box 15240 JACKSON WY 83002. This licensed professional license is current. The license was granted 03/05/1988 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

BRENT ALAN BLUE
Board Of Medicine
License number
M-5333
Date granted
03/05/1988
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
Box 15240 JACKSON WY 83002
idaholicensing.com
ID 48341017
LAST UPDATED 2024-03-07 22:54:41 UTC

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