Idaho
Division of Occupational and Professional Licenses
JESSICA LATHAM CLARKE
Board Of Medicine
License number
PAT-576
Date granted
09/21/2007
Date expires
07/31/2009
Class
Board Of Medicine
Status
Expired
Address
930 N MAPLE GROVE RD #D205 BOISE ID 83704
idaholicensing.com
ID 48343712
LAST UPDATED 2024-04-22 21:39:30 UTC
LAST UPDATED 2024-04-22 21:39:30 UTC
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