License holder summary

P. BLAIR ELLSWORTH is a Board Of Medicine licensed to practice in Idaho. The address on file for P. BLAIR ELLSWORTH is Ponds Lodge #12 Island Park ID 83429. This licensed professional license is not current. The license was granted 10/21/1940 and expired on 10/03/1940.

Idaho

Division of Occupational and Professional Licenses

P. BLAIR ELLSWORTH
Board Of Medicine
License number
M-1647
Date granted
10/21/1940
Date expires
10/03/1940
Class
Board Of Medicine
Status
Deceased
Address
Ponds Lodge #12 Island Park ID 83429
idaholicensing.com
ID 48357504
LAST UPDATED 2026-04-09 14:11:00 UTC

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