Idaho
Division of Occupational and Professional Licenses
ROBERT B. CLARK
Board Of Medicine
License number
M-4204
Date granted
07/29/1980
Date expires
07/01/1980
Class
Board Of Medicine
Status
Canceled
Address
1172 E. Highway #6, Ste. #3 Payson UT 84651
idaholicensing.com
ID 48343680
LAST UPDATED 2024-03-08 17:40:20 UTC
LAST UPDATED 2024-03-08 17:40:20 UTC
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