License holder summary

MICHAEL JEFFERY CLARK is a Board Of Medicine licensed to practice in Idaho. The address on file for MICHAEL JEFFERY CLARK is 2085 EMERY PLACE NE ATLANTA GA 30317. This licensed professional license is not current. The license was granted 08/20/2014 and expired on 06/30/2015.

Idaho

Division of Occupational and Professional Licenses

MICHAEL JEFFERY CLARK
Board Of Medicine
License number
MRM-1440
Date granted
08/20/2014
Date expires
06/30/2015
Class
Board Of Medicine
Status
Expired
Address
2085 EMERY PLACE NE ATLANTA GA 30317
idaholicensing.com
ID 48343676
LAST UPDATED 2024-03-22 02:51:33 UTC

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