License holder summary

PENNY LOU CHENNEY-CLACK is a Board Of Medicine licensed to practice in Idaho. The address on file for PENNY LOU CHENNEY-CLACK is PO Box 1696 OROFINO ID 83544. This licensed professional license is not current. The license was granted 02/25/1992 and expired on 08/01/2013.

Idaho

Division of Occupational and Professional Licenses

PENNY LOU CHENNEY-CLACK
Board Of Medicine
License number
LRT-306
Date granted
02/25/1992
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
PO Box 1696 OROFINO ID 83544
idaholicensing.com
ID 48329290
LAST UPDATED 2024-03-01 09:05:54 UTC

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