Idaho
Division of Occupational and Professional Licenses
Dr. STEPHEN MICHAEL BLUM
Board Of Medicine
License number
M-10153
Date granted
01/15/2008
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1001 NW LOVEJOY ST Portland OR 97209
idaholicensing.com
ID 48341025
LAST UPDATED 2024-01-29 15:39:20 UTC
LAST UPDATED 2024-01-29 15:39:20 UTC
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