Idaho
Division of Occupational and Professional Licenses
DEBRA STIDHAM CLYDE
Board Of Medicine
License number
M-4945
Date granted
08/16/1985
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
PO Box 1748 Alturas CA 96101
idaholicensing.com
ID 48343789
LAST UPDATED 2024-03-11 23:50:53 UTC
LAST UPDATED 2024-03-11 23:50:53 UTC
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