GRANT COWAN CLARK

Idaho  M-8371   Canceled

This Idaho license was held by GRANT COWAN CLARK. The license is no longer active. It was granted on 12/08/2001 and expired on 06/30/2002

LICENSE DETAILS

  • License Number: M-8371
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 12/08/2001 (almost 25 years ago)
  • Expiry Date: 06/30/2002 (about 24 years ago)

LOCATIONS

A Residential

3005 Overlook St Apt 8 Boise ID 83703