Idaho
Division of Occupational and Professional Licenses
CLISTO DEVAUGHN BEATY
Board Of Medicine
License number
M-4600
Date granted
02/17/1983
Class
Board Of Medicine
Status
Canceled
Address
PO Box 311 Payson UT 84651
idaholicensing.com
ID 48338066
LAST UPDATED 2026-04-24 15:46:02 UTC
LAST UPDATED 2026-04-24 15:46:02 UTC
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