Idaho
Division of Occupational and Professional Licenses
TANNER CODY CLARK
Board Of Medicine
License number
MSM-0285
Date granted
06/19/2013
Date expires
06/30/2015
Class
Board Of Medicine
Status
Expired
Address
1225 33RD ST CODY WY 82414
idaholicensing.com
ID 48343700
LAST UPDATED 2024-03-22 23:56:13 UTC
LAST UPDATED 2024-03-22 23:56:13 UTC
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