License holder summary

James Russell Blackman is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for James Russell Blackman is 777 N Raymond, Boise, ID 83704. This doctor license is not current. The license was granted 02/23/1973 and expired on 12/31/1989.

Department of Safety and Professional Services

Board of Medical Practice

James Russell Blackman
Medical - Physician And Surgeon
License number
20667
Date granted
02/23/1973
Date expires
12/31/1989
Class
Medical - Physician And Surgeon
Status
Canceled
Address
777 N Raymond, Boise, ID 83704
doctorsminnesota.org
ID 22161493
LAST UPDATED 2024-03-23 19:43:32 UTC

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