License holder summary

Dr. KENNETH Todd BLACKNER is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. KENNETH Todd BLACKNER is Physicians & Surgeons Clinic of Shelley SHELLEY ID 83274. This licensed professional license is current. The license was granted 10/05/2012 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. KENNETH Todd BLACKNER
Board Of Medicine
License number
M-11785
Date granted
10/05/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
Physicians & Surgeons Clinic of Shelley SHELLEY ID 83274
idaholicensing.com
ID 48329271
LAST UPDATED 2024-05-03 08:11:21 UTC

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