Idaho
Division of Occupational and Professional Licenses
PHILIP CLARKE BLUM
Board Of Medicine
License number
M-8285
Date granted
09/08/2001
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 13215 JACKSON WY 83002
idaholicensing.com
ID 48341023
LAST UPDATED 2024-02-14 03:51:12 UTC
LAST UPDATED 2024-02-14 03:51:12 UTC
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