License holder summary

JENNIFER RYAN BLACKLER is a Board Of Medicine licensed to practice in Idaho. The address on file for JENNIFER RYAN BLACKLER is 777 N. Raymond Street Boise ID 83704. This licensed professional license is not current. The license was granted 03/18/2009 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

JENNIFER RYAN BLACKLER
Board Of Medicine
License number
PA-795
Date granted
03/18/2009
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
777 N. Raymond Street Boise ID 83704
idaholicensing.com
ID 48329265
LAST UPDATED 2024-04-15 21:14:14 UTC

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