Idaho
Division of Occupational and Professional Licenses
KEVIN WILLIAM BLUME
Board Of Medicine
License number
D-683
Date granted
09/07/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4097 N. Northwall Boise ID 83703
idaholicensing.com
ID 48341027
LAST UPDATED 2024-03-02 13:21:46 UTC
LAST UPDATED 2024-03-02 13:21:46 UTC
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