License holder summary

RANDIL LEE CLARK is a Board Of Medicine licensed to practice in Idaho. The address on file for RANDIL LEE CLARK is 980 W IRONWOOD DR STE 104 COEUR D ALENE ID 83814. This licensed professional license is current. The license was granted 07/27/1990 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

RANDIL LEE CLARK
Board Of Medicine
License number
M-5699
Date granted
07/27/1990
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
980 W IRONWOOD DR STE 104 COEUR D ALENE ID 83814
idaholicensing.com
ID 48343678
LAST UPDATED 2024-04-09 04:18:42 UTC

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