Idaho
Division of Occupational and Professional Licenses
DIANA JEAN CLELLAND
Board Of Medicine
License number
D-721
Date granted
07/12/2012
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
2555 DUPORTAIL ST RICHLAND WA 99352
idaholicensing.com
ID 48343722
LAST UPDATED 2024-03-09 19:19:27 UTC
LAST UPDATED 2024-03-09 19:19:27 UTC
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