License holder summary

FREDRICK JOHN BLOOMQUIST is a Board Of Medicine licensed to practice in Idaho. The address on file for FREDRICK JOHN BLOOMQUIST is 1262 PEREGRINE DR MIDDLETON ID 83644. This licensed professional license is current. The license was granted 05/19/1998 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

FREDRICK JOHN BLOOMQUIST
Board Of Medicine
License number
LRT-713
Date granted
05/19/1998
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1262 PEREGRINE DR MIDDLETON ID 83644
idaholicensing.com
ID 48341010
LAST UPDATED 2026-06-02 12:05:57 UTC

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