License holder summary

DANIEL THOMAS BLACKBURN is a Board Of Medicine licensed to practice in Idaho. The address on file for DANIEL THOMAS BLACKBURN is 222 SOUTH AVE W MISSOULA MT 59801. This licensed professional license is not current. The license was granted 04/25/2012 and expired on 03/01/2013.

Idaho

Division of Occupational and Professional Licenses

DANIEL THOMAS BLACKBURN
Board Of Medicine
License number
RTS-464
Date granted
04/25/2012
Date expires
03/01/2013
Class
Board Of Medicine
Status
Expired
Address
222 SOUTH AVE W MISSOULA MT 59801
idaholicensing.com
ID 48329255
LAST UPDATED 2024-04-14 06:17:32 UTC

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