Idaho
Division of Occupational and Professional Licenses
DONOVAN DERYL CLARK
Board Of Medicine
License number
M-6580
Date granted
09/10/1994
Date expires
07/02/1998
Class
Board Of Medicine
Status
Canceled
Address
23314 E Boone Ave Liberty Lake WA 99019
idaholicensing.com
ID 48343655
LAST UPDATED 2024-03-05 06:04:00 UTC
LAST UPDATED 2024-03-05 06:04:00 UTC
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