Idaho
Division of Occupational and Professional Licenses
MITCHELL ERIC BLUME
Board Of Medicine
License number
D-722
Date granted
07/13/2012
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
4558 7TH AVE NE #401 SEATTLE WA 98105
idaholicensing.com
ID 48341028
LAST UPDATED 2024-02-17 23:52:20 UTC
LAST UPDATED 2024-02-17 23:52:20 UTC
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