License holder summary

JULIE MATILDA CLARK is a Board Of Medicine licensed to practice in Idaho. The address on file for JULIE MATILDA CLARK is 10255 W OVERLAND RD BOISE ID 83709. This licensed professional license is current. The license was granted 12/05/1998 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

JULIE MATILDA CLARK
Board Of Medicine
License number
PA-256
Date granted
12/05/1998
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
10255 W OVERLAND RD BOISE ID 83709
idaholicensing.com
ID 48343667
LAST UPDATED 2024-03-07 17:10:23 UTC

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