Idaho
Division of Occupational and Professional Licenses
CLEN DAMON M. MOORE
Board Of Medicine
License number
MRM-402
Date granted
12/28/1993
Class
Board Of Medicine
Status
Canceled
Address
14044 12th Ave NE #310C Seattle WA 98125
idaholicensing.com
ID 48359332
LAST UPDATED 2024-04-02 08:05:19 UTC
LAST UPDATED 2024-04-02 08:05:19 UTC
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