License holder summary

JEFFERY W. BLOMSTEDT is a Board Of Medicine licensed to practice in Idaho. The address on file for JEFFERY W. BLOMSTEDT is 175 West 200 South, Suite 2003 Salt Lake City UT 84101. This licensed professional license is not current. The license was granted 11/22/1980 and expired on 07/01/1975.

Idaho

Division of Occupational and Professional Licenses

JEFFERY W. BLOMSTEDT
Board Of Medicine
License number
M-4210
Date granted
11/22/1980
Date expires
07/01/1975
Class
Board Of Medicine
Status
Canceled
Address
175 West 200 South, Suite 2003 Salt Lake City UT 84101
idaholicensing.com
ID 48341003
LAST UPDATED 2024-02-11 05:36:04 UTC

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