Idaho
Division of Occupational and Professional Licenses
T CLARK ROBINSON IV
Board Of Medicine
License number
DPHY-8080
Date granted
11/02/2004
Date expires
02/03/2014
Class
Board Of Medicine
Status
Canceled
Address
4424 E. Flamingo Ave NAMPA ID 83687
idaholicensing.com
ID 48340929
LAST UPDATED 2024-02-10 04:37:35 UTC
LAST UPDATED 2024-02-10 04:37:35 UTC
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