License holder summary

TANNER CODY CLARK is a Board Of Medicine licensed to practice in Idaho. The address on file for TANNER CODY CLARK is 1225 33RD ST CODY WY 82414. This licensed professional license is not current. The license was granted 06/19/2013 and expired on 06/30/2015.

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

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