License holder summary

JOEL MARK BLASS is a Board Of Medicine licensed to practice in Idaho. The address on file for JOEL MARK BLASS is 3632 THOUSAND OAKS DR SAN JOSE CA 95136. This licensed professional license is not current. The license was granted 12/09/2005 and expired on 06/30/2014.

Idaho

Division of Occupational and Professional Licenses

JOEL MARK BLASS
Board Of Medicine
License number
LRT-1143
Date granted
12/09/2005
Date expires
06/30/2014
Class
Board Of Medicine
Status
Canceled
Address
3632 THOUSAND OAKS DR SAN JOSE CA 95136
idaholicensing.com
ID 48337641
LAST UPDATED 2026-04-04 06:01:42 UTC

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