License holder summary

KEITH M. CLISBY is a Board Of Medicine licensed to practice in Idaho. The address on file for KEITH M. CLISBY is 816 Oregon Building Portland OR. This licensed professional license is not current. The license was granted 10/02/1935 and expired on 02/01/1935.

Idaho

Division of Occupational and Professional Licenses

KEITH M. CLISBY
Board Of Medicine
License number
M-1459
Date granted
10/02/1935
Date expires
02/01/1935
Class
Board Of Medicine
Status
Deceased
Address
816 Oregon Building Portland OR
idaholicensing.com
ID 48342241
LAST UPDATED 2024-03-26 22:37:57 UTC

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