Idaho
Division of Occupational and Professional Licenses
TRAVIS JOHN CLYDE
Board Of Medicine
License number
MRM-1547
Date granted
05/04/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
465 MEMORIAL DR POCATELLO ID 83201
idaholicensing.com
ID 48343791
LAST UPDATED 2024-03-26 18:19:41 UTC
LAST UPDATED 2024-03-26 18:19:41 UTC
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