License holder summary

DR. BLAKE EDWIN PEDERSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for DR. BLAKE EDWIN PEDERSEN is 2757 CARRIAGE WAY TWIN FALLS ID 83301. This licensed professional license is current. The license was granted 04/01/2008 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

DR. BLAKE EDWIN PEDERSEN
Board Of Medicine
License number
O-0473
Date granted
04/01/2008
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
2757 CARRIAGE WAY TWIN FALLS ID 83301
idaholicensing.com
ID 48346875
LAST UPDATED 2024-04-10 02:05:49 UTC

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