Idaho
Division of Occupational and Professional Licenses
TRACI LINN CLARK
Board Of Medicine
License number
LRT-976
Date granted
12/16/2002
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
PO Box 772 Mountain Home ID 83647
idaholicensing.com
ID 48343702
LAST UPDATED 2024-03-19 20:48:05 UTC
LAST UPDATED 2024-03-19 20:48:05 UTC
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