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
LAST UPDATED 2023-12-30 17:35:46 UTC
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