Idaho
Division of Occupational and Professional Licenses
KATHLEEN HANNAH BLACKBURN
Board Of Medicine
License number
M-6120
Date granted
12/05/1992
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
500 W Fort St Boise ID 83702
idaholicensing.com
ID 48329257
LAST UPDATED 2024-02-27 12:55:50 UTC
LAST UPDATED 2024-02-27 12:55:50 UTC
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