Idaho
Division of Occupational and Professional Licenses
DR. EDMUND LLOYD BLACKLER
Board Of Medicine
License number
M-10856
Date granted
11/03/2009
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
777 N RAYMOND ST BOISE ID 83704
idaholicensing.com
ID 48329263
LAST UPDATED 2024-02-08 08:34:58 UTC
LAST UPDATED 2024-02-08 08:34:58 UTC
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