License holder summary

GLENN DAVID BLAISDELL is a Board Of Medicine licensed to practice in Idaho. The address on file for GLENN DAVID BLAISDELL is 850 Boulder Drive Green River WY 82935. This licensed professional license is not current. The license was granted 07/15/1973 and expired on 07/15/1973.

Idaho

Division of Occupational and Professional Licenses

GLENN DAVID BLAISDELL
Board Of Medicine
License number
M-3166
Date granted
07/15/1973
Date expires
07/15/1973
Class
Board Of Medicine
Status
Canceled
Address
850 Boulder Drive Green River WY 82935
idaholicensing.com
ID 48334844
LAST UPDATED 2024-03-17 04:13:50 UTC

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