Idaho
Division of Occupational and Professional Licenses
WILLIAM RUSTY BLEVINS
Board Of Medicine
License number
LRT-825
Date granted
08/14/2000
Date expires
07/03/2001
Class
Board Of Medicine
Status
Canceled
Address
102 Poplar #7 Clarkston WA 99403
idaholicensing.com
ID 48340994
LAST UPDATED 2024-02-23 17:55:50 UTC
LAST UPDATED 2024-02-23 17:55:50 UTC
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