License holder summary

BRUCE GRAGG BLACKSTONE is a Board Of Medicine licensed to practice in Idaho. The address on file for BRUCE GRAGG BLACKSTONE is 625 9th ave, ste 210 LONGVIEW WA 98632. This licensed professional license is not current. The license was granted 01/26/2006 and expired on 08/01/2016.

Idaho

Division of Occupational and Professional Licenses

BRUCE GRAGG BLACKSTONE
Board Of Medicine
License number
M-9490
Date granted
01/26/2006
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
625 9th ave, ste 210 LONGVIEW WA 98632
idaholicensing.com
ID 48329273
LAST UPDATED 2024-04-02 21:59:04 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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