Idaho
Division of Occupational and Professional Licenses
TERESA ANN CLARK
Board Of Medicine
License number
LRT-075
Date granted
11/20/1991
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
3493 E LIND RD APT 105 TUCSON AZ 85712
idaholicensing.com
ID 48343701
LAST UPDATED 2024-02-21 01:36:48 UTC
LAST UPDATED 2024-02-21 01:36:48 UTC
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