License holder summary

CAROL LEE CLARK is a Board Of Medicine licensed to practice in Idaho. The address on file for CAROL LEE CLARK is 207 Baker Dr Mountain Home ID 83647. This licensed professional license is not current. The license was granted 06/05/1996 and expired on 07/02/1999.

Idaho

Division of Occupational and Professional Licenses

CAROL LEE CLARK
Board Of Medicine
License number
LRT-560
Date granted
06/05/1996
Date expires
07/02/1999
Class
Board Of Medicine
Status
Canceled
Address
207 Baker Dr Mountain Home ID 83647
idaholicensing.com
ID 48343651
LAST UPDATED 2024-01-31 03:18:54 UTC

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