License holder summary

JERRY BLAKE ALLRED is a Board Of Medicine licensed to practice in Idaho. The address on file for JERRY BLAKE ALLRED is 1106 Alder Ave Lewiston ID 83501. This licensed professional license is not current. The license was granted 11/22/1991 and expired on 06/30/2003.

Idaho

Division of Occupational and Professional Licenses

JERRY BLAKE ALLRED
Board Of Medicine
License number
LRT-096
Date granted
11/22/1991
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
1106 Alder Ave Lewiston ID 83501
idaholicensing.com
ID 48335637
LAST UPDATED 2024-02-13 02:56:50 UTC

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