DAVID ALLEN DPM BLACKMER - Podiatrist License in Idaho | # 016003937

DAVID ALLEN DPM BLACKMER

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003937

License Status

INACTIVE

Business

N

First Name

DAVID ALLEN DPM

Last Name

BLACKMER

Business Name

DAVID ALLEN DPM BLACKMER

Original Issue Date

06/09/1986

Effective Date

06/09/1986

Expiration Date

01/31/1987

State

ID

Ever Disciplined

N

LastModifiedDate

09/25/2006