License holder summary

RICK CHARLES CLARK JR is a Board Of Medicine licensed to practice in Idaho. The address on file for RICK CHARLES CLARK JR is 570 W 500 N MALAD CITY ID 83252. This licensed professional license is not current. The license was granted 10/17/2000 and expired on 06/30/2003.

Idaho

Division of Occupational and Professional Licenses

RICK CHARLES CLARK JR
Board Of Medicine
License number
PA-324
Date granted
10/17/2000
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
570 W 500 N MALAD CITY ID 83252
idaholicensing.com
ID 48343636
LAST UPDATED 2024-02-11 11:40:37 UTC

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