License holder summary

SANDRA D BLACKMON is a Board Of Medicine licensed to practice in Idaho. The address on file for SANDRA D BLACKMON is 435 N 35th Ave #497 Greeley CO 80631. This licensed professional license is not current. The license was granted 01/16/2007 and expired on 08/01/2009.

Idaho

Division of Occupational and Professional Licenses

SANDRA D BLACKMON
Board Of Medicine
License number
LRT-1220
Date granted
01/16/2007
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
435 N 35th Ave #497 Greeley CO 80631
idaholicensing.com
ID 48329270
LAST UPDATED 2024-03-03 02:12:41 UTC

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