License holder summary

KRISTIN D BLONDEAU is a Board Of Medicine licensed to practice in Idaho. The address on file for KRISTIN D BLONDEAU is 19665 HARVARD PLACE BEND OR 97702. This licensed professional license is not current. The license was granted 11/14/2014 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

KRISTIN D BLONDEAU
Board Of Medicine
License number
PGT-109
Date granted
11/14/2014
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
19665 HARVARD PLACE BEND OR 97702
idaholicensing.com
ID 48338505
LAST UPDATED 2024-04-30 14:26:27 UTC

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