License holder summary

Michael Calvin Clark is a Board Of Medicine licensed to practice in Idaho. The address on file for Michael Calvin Clark is PO Box 50784 IDAHO FALLS ID 83405. This licensed professional license is not current. The license was granted 08/03/1992 and expired on 07/02/1993.

Idaho

Division of Occupational and Professional Licenses

Michael Calvin Clark
Board Of Medicine
License number
LRT-357
Date granted
08/03/1992
Date expires
07/02/1993
Class
Board Of Medicine
Status
Canceled
Address
PO Box 50784 IDAHO FALLS ID 83405
idaholicensing.com
ID 48343674
LAST UPDATED 2024-03-15 11:25:20 UTC

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