License holder summary

NATALIA MARY BLACKSTONE is a Board Of Medicine licensed to practice in Idaho. The address on file for NATALIA MARY BLACKSTONE is 12415 Birnamwood Ct. Burnsville MN 55337. This licensed professional license is not current. The license was granted 09/29/2000 and expired on 07/03/2001.

Idaho

Division of Occupational and Professional Licenses

NATALIA MARY BLACKSTONE
Board Of Medicine
License number
LRT-841
Date granted
09/29/2000
Date expires
07/03/2001
Class
Board Of Medicine
Status
Canceled
Address
12415 Birnamwood Ct. Burnsville MN 55337
idaholicensing.com
ID 48329274
LAST UPDATED 2024-02-06 05:00:40 UTC

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