License holder summary

Dr. JOHN IVAN BLAIR ANTONIUS is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. JOHN IVAN BLAIR ANTONIUS is PO BOX 1103 CANBY OR 97013. This licensed professional license is not current. The license was granted 12/17/2007 and expired on 08/01/2011.

Idaho

Division of Occupational and Professional Licenses

Dr. JOHN IVAN BLAIR ANTONIUS
Board Of Medicine
License number
M-10132
Date granted
12/17/2007
Date expires
08/01/2011
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 1103 CANBY OR 97013
idaholicensing.com
ID 48336805
LAST UPDATED 2024-04-30 07:18:05 UTC

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