License holder summary

SUSAN L. CLARK is a Board Of Medicine licensed to practice in Idaho. The address on file for SUSAN L. CLARK is 6705 232 Pl. SW MOUNTLAKE TERRACE WA 98043. This licensed professional license is not current. The license was granted 08/10/1984 and expired on 06/30/1989.

Idaho

Division of Occupational and Professional Licenses

SUSAN L. CLARK
Board Of Medicine
License number
M-4804
Date granted
08/10/1984
Date expires
06/30/1989
Class
Board Of Medicine
Status
Canceled
Address
6705 232 Pl. SW MOUNTLAKE TERRACE WA 98043
idaholicensing.com
ID 48343698
LAST UPDATED 2023-12-30 17:35:46 UTC

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