Idaho
Division of Occupational and Professional Licenses
Dr. LLOYD WILLIAM BLAKE
Board Of Medicine
License number
M-11127
Date granted
10/13/2010
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2347 GALA STREET MERIDIAN ID 83642
idaholicensing.com
ID 48335238
LAST UPDATED 2024-03-18 09:19:02 UTC
LAST UPDATED 2024-03-18 09:19:02 UTC
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