Idaho
Division of Occupational and Professional Licenses
KATHY LEE CLARK
Board Of Medicine
License number
LRT-669
Date granted
10/24/1997
Date expires
06/30/2000
Class
Board Of Medicine
Status
Canceled
Address
5918 Stockwood St. Bossier City LA 71111
idaholicensing.com
ID 48343670
LAST UPDATED 2024-04-25 20:39:58 UTC
LAST UPDATED 2024-04-25 20:39:58 UTC
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