Idaho
Division of Occupational and Professional Licenses
C.W. CLARK
Board Of Medicine
License number
M-1119
Date granted
10/01/1919
Date expires
10/01/1919
Class
Board Of Medicine
Status
Canceled
Address
Pocatello ID 83201
idaholicensing.com
ID 48343647
LAST UPDATED 2024-01-01 03:33:45 UTC
LAST UPDATED 2024-01-01 03:33:45 UTC
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