Idaho
Division of Occupational and Professional Licenses
Clinton Wade Baker
Board Of Medicine
License number
PA-454
Date granted
08/22/2003
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1210 N W 16TH ST FRUITLAND ID 83619
idaholicensing.com
ID 48335185
LAST UPDATED 2024-02-09 10:26:00 UTC
LAST UPDATED 2024-02-09 10:26:00 UTC
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