License holder summary

ROBERT GEORGE BLAKE is a Board Of Medicine licensed to practice in Idaho. The address on file for ROBERT GEORGE BLAKE is 3813 11TH ST E LEWISTON ID 83501. This licensed professional license is not current. The license was granted 12/11/1991 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

ROBERT GEORGE BLAKE
Board Of Medicine
License number
LRT-113
Date granted
12/11/1991
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
3813 11TH ST E LEWISTON ID 83501
idaholicensing.com
ID 48335241
LAST UPDATED 2024-04-14 13:44:27 UTC

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