Idaho
Division of Occupational and Professional Licenses
HENRY B BLAKE
Board Of Medicine
License number
M-0112
Date granted
06/20/1899
Class
Board Of Medicine
Status
Canceled
Address
KEUTERVILLE ID 83522
idaholicensing.com
ID 48335234
LAST UPDATED 2026-04-20 11:29:51 UTC
LAST UPDATED 2026-04-20 11:29:51 UTC
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