License holder summary

ROXANNE SMITH CLARK is a Board Of Medicine licensed to practice in Idaho. The address on file for ROXANNE SMITH CLARK is RR1 Box 1684 Woodford VA 22580. This licensed professional license is not current. The license was granted 12/18/1992 and expired on 07/02/1993.

Idaho

Division of Occupational and Professional Licenses

ROXANNE SMITH CLARK
Board Of Medicine
License number
LRT-377
Date granted
12/18/1992
Date expires
07/02/1993
Class
Board Of Medicine
Status
Canceled
Address
RR1 Box 1684 Woodford VA 22580
idaholicensing.com
ID 48343689
LAST UPDATED 2024-03-04 05:34:46 UTC

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