License holder summary

CLARENCE ROGER HERBRANDSON is a Board Of Medicine licensed to practice in Idaho. The address on file for CLARENCE ROGER HERBRANDSON is 921 Bella Casa Dr Pueblo CO 81007. This licensed professional license is not current. The license was granted 03/01/1993 and expired on 07/05/1995.

Idaho

Division of Occupational and Professional Licenses

CLARENCE ROGER HERBRANDSON
Board Of Medicine
License number
M-6154
Date granted
03/01/1993
Date expires
07/05/1995
Class
Board Of Medicine
Status
Canceled
Address
921 Bella Casa Dr Pueblo CO 81007
idaholicensing.com
ID 48345962
LAST UPDATED 2024-03-19 08:29:58 UTC

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