Idaho
Division of Occupational and Professional Licenses
CLARENCE H. SWANSON Jr.
Board Of Medicine
License number
M-5209
Date granted
04/13/1987
Date expires
06/14/1954
Class
Board Of Medicine
Status
Canceled
Address
6529 S Berg Rd Clinton WA 98236
idaholicensing.com
ID 48371327
LAST UPDATED 2024-03-26 15:31:35 UTC
LAST UPDATED 2024-03-26 15:31:35 UTC
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