License holder summary

JACK OSBORNE CLARK is a Board Of Medicine licensed to practice in Idaho. The address on file for JACK OSBORNE CLARK is 2860 Channing Way Idaho Falls ID 83404. This licensed professional license is current. The license was granted 05/20/1999 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

JACK OSBORNE CLARK
Board Of Medicine
License number
M-7743
Date granted
05/20/1999
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2860 Channing Way Idaho Falls ID 83404
idaholicensing.com
ID 48343664
LAST UPDATED 2024-04-08 07:14:14 UTC

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