License holder summary

Richard D Blickenstaff is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Richard D Blickenstaff is 6500 Emerald St, Boise, ID 83704. This doctor license is not current. The license was granted 05/11/1985 and expired on 12/31/1988.

Department of Safety and Professional Services

Board of Medical Practice

Richard D Blickenstaff
Medical - Physician And Surgeon
License number
29202
Date granted
05/11/1985
Date expires
12/31/1988
Class
Medical - Physician And Surgeon
Status
Canceled
Address
6500 Emerald St, Boise, ID 83704
doctorsminnesota.org
ID 22161716
LAST UPDATED 2024-02-07 01:15:06 UTC

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