DAVID ALLEN DPM BLACKMER Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003937

License Status

INACTIVE

Business

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

City

BURLEY

State

Zip

83318

County

IDAHO

Ever Disciplined

LastModifiedDate

09/25/2006