License holder summary

Dr. MATTHEW BLAKE is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. MATTHEW BLAKE is 1411 Falls Ave E. Suite 1301 Twin Falls ID 83301. This licensed professional license is current. The license was granted 07/21/2014 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. MATTHEW BLAKE
Board Of Medicine
License number
M-12567
Date granted
07/21/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1411 Falls Ave E. Suite 1301 Twin Falls ID 83301
idaholicensing.com
ID 48335239
LAST UPDATED 2024-02-22 04:23:04 UTC

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