License holder summary

DAVID LAWRENCE BLAKEMAN is a Board Of Medicine licensed to practice in Idaho. The address on file for DAVID LAWRENCE BLAKEMAN is 4164 MIRINDA LANE IDAHO FALLS ID 83406. This licensed professional license is current. The license was granted 10/01/1997 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

DAVID LAWRENCE BLAKEMAN
Board Of Medicine
License number
LRT-659
Date granted
10/01/1997
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4164 MIRINDA LANE IDAHO FALLS ID 83406
idaholicensing.com
ID 48335243
LAST UPDATED 2026-06-14 15:30:57 UTC

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