License holder summary

CLARENCE LOUIS BLAHNIK is a Board Of Medicine licensed to practice in Idaho. The address on file for CLARENCE LOUIS BLAHNIK is 12025 S. Sunrise Cir. Idaho Falls ID 83404. This licensed professional license is not current. The license was granted 12/05/1992 and expired on 07/02/1993.

Idaho

Division of Occupational and Professional Licenses

CLARENCE LOUIS BLAHNIK
Board Of Medicine
License number
M-6128
Date granted
12/05/1992
Date expires
07/02/1993
Class
Board Of Medicine
Status
Canceled
Address
12025 S. Sunrise Cir. Idaho Falls ID 83404
idaholicensing.com
ID 48334580
LAST UPDATED 2024-03-26 18:01:35 UTC

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