Idaho Licensing
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Status
Canceled
2
Upgraded
2
Not Current
1
Category
REGISTERED INDIVIDUAL CONTRACTOR
1
Board Of Medicine
4
Location
Pocatello
14
Blackfoot
8
Twin Falls
19
Idaho Falls
29
Rexburg
10
Rigby
4
Lewiston
6
Caldwell
5
Cambridge
4
Eagle
5
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Emmett
4
Melba
4
Meridian
10
Nampa
15
Boise
50
Coeur D Alene
23
Moscow
5
Salt Lake City
10
Spokane
8
Liberty Lake
5
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Results
5
license holders
CLARK
Liberty Lake
GEORGE D CLARK
REGISTERED INDIVIDUAL CONTRACTOR
Liberty Lake
Not Current
DONOVAN DERYL CLARK
Board Of Medicine
Liberty Lake
Canceled
DONOVAN DERYL CLARK
Board Of Medicine
Liberty Lake
Upgraded
KANCHAN PURI CLARK
Board Of Medicine
Liberty Lake
Canceled
KANCHAN PURI CLARK
Board Of Medicine
Liberty Lake
Upgraded