License holder summary

JAMES RUSSELL BLACKMAN is a Board Of Medicine licensed to practice in Idaho. The address on file for JAMES RUSSELL BLACKMAN is 777 N Raymond Boise ID 83704. This licensed professional license is not current. The license was granted 03/05/1988 and expired on 06/30/2007.

Idaho

Division of Occupational and Professional Licenses

JAMES RUSSELL BLACKMAN
Board Of Medicine
License number
M-5338
Date granted
03/05/1988
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
777 N Raymond Boise ID 83704
idaholicensing.com
ID 48329267
LAST UPDATED 2024-04-20 15:20:18 UTC

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