License holder summary

GRANT COWAN CLARK is a Board Of Medicine licensed to practice in Idaho. The address on file for GRANT COWAN CLARK is 3005 Overlook St Apt 8 Boise ID 83703. This licensed professional license is not current. The license was granted 12/08/2001 and expired on 06/30/2002.

Idaho

Division of Occupational and Professional Licenses

GRANT COWAN CLARK
Board Of Medicine
License number
M-8371
Date granted
12/08/2001
Date expires
06/30/2002
Class
Board Of Medicine
Status
Canceled
Address
3005 Overlook St Apt 8 Boise ID 83703
idaholicensing.com
ID 48343661
LAST UPDATED 2024-01-30 17:04:44 UTC

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