License holder summary

WENDI J. BLAYLOCK is a Board Of Medicine licensed to practice in Idaho. The address on file for WENDI J. BLAYLOCK is 4680 N Crimson Pl Boise ID 83703. This licensed professional license is current. The license was granted 08/31/1992 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

WENDI J. BLAYLOCK
Board Of Medicine
License number
LRT-358
Date granted
08/31/1992
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
4680 N Crimson Pl Boise ID 83703
idaholicensing.com
ID 48339652
LAST UPDATED 2024-02-14 17:53:18 UTC

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