Idaho
Division of Occupational and Professional Licenses
CLYDE MAURICE MAGNUSON, JR.
Board Of Medicine
License number
LRT-575
Date granted
09/09/1996
Date expires
07/02/2002
Class
Board Of Medicine
Status
Canceled
Address
General Delivery Marquette MI 49855
idaholicensing.com
ID 48334395
LAST UPDATED 2024-02-16 06:27:04 UTC
LAST UPDATED 2024-02-16 06:27:04 UTC
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