Idaho
Division of Occupational and Professional Licenses
CLAY DANIEL DIEFFENBACHER
Board Of Medicine
License number
RTS-596
Date granted
10/11/2013
Date expires
04/05/2015
Class
Board Of Medicine
Status
Expired
Address
4104 HILLVIEW WAY #204 MISSOULA MT 59803
idaholicensing.com
ID 48329310
LAST UPDATED 2024-02-26 12:08:41 UTC
LAST UPDATED 2024-02-26 12:08:41 UTC
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