License holder summary

CHARLES G. BLACKBURN is a Board Of Medicine licensed to practice in Idaho. The address on file for CHARLES G. BLACKBURN is 800 LaCassia Drive Boise ID 83705. This licensed professional license is not current. The license was granted 07/10/1951 and expired on 07/10/1951.

Idaho

Division of Occupational and Professional Licenses

CHARLES G. BLACKBURN
Board Of Medicine
License number
M-2083
Date granted
07/10/1951
Date expires
07/10/1951
Class
Board Of Medicine
Status
Deceased
Address
800 LaCassia Drive Boise ID 83705
idaholicensing.com
ID 48329254
LAST UPDATED 2024-02-06 00:06:58 UTC

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