License holder summary

STANTON CLARK PACKARD is a Board Of Medicine licensed to practice in Idaho. The address on file for STANTON CLARK PACKARD is 524 Carson Ave Dumas TX 79029. This licensed professional license is not current. The license was granted 03/05/2004 and expired on 06/30/1993.

Idaho

Division of Occupational and Professional Licenses

STANTON CLARK PACKARD
Board Of Medicine
License number
M-9002
Date granted
03/05/2004
Date expires
06/30/1993
Class
Board Of Medicine
Status
Canceled
Address
524 Carson Ave Dumas TX 79029
idaholicensing.com
ID 48329607
LAST UPDATED 2024-03-19 07:51:02 UTC

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