License holder summary

MICHAEL CLYDE GRAHAM is a Board Of Medicine licensed to practice in Idaho. The address on file for MICHAEL CLYDE GRAHAM is 1540 PINE CONE RD MOSCOW ID 83843. This licensed professional license is current. The license was granted 12/15/2005 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

MICHAEL CLYDE GRAHAM
Board Of Medicine
License number
PA-594
Date granted
12/15/2005
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1540 PINE CONE RD MOSCOW ID 83843
idaholicensing.com
ID 48334661
LAST UPDATED 2024-04-05 17:47:00 UTC

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