Idaho
Division of Occupational and Professional Licenses
R.L. CLARK
Board Of Medicine
License number
M-1103
Date granted
10/09/1919
Date expires
10/09/1919
Class
Board Of Medicine
Status
Canceled
Address
812 Forum Building Sacramento CA
idaholicensing.com
ID 48343677
LAST UPDATED 2024-02-07 07:29:31 UTC
LAST UPDATED 2024-02-07 07:29:31 UTC
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