Idaho
Division of Occupational and Professional Licenses
LAUREN DANIELLE CLARK
Board Of Medicine
License number
PA-1215
Date granted
12/04/2014
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
973 Mica Drive Carson City NV 89705
idaholicensing.com
ID 48343671
LAST UPDATED 2024-03-31 12:05:52 UTC
LAST UPDATED 2024-03-31 12:05:52 UTC
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