GRANT COWAN CLARK
Idaho TLM-3095 Upgraded
This Idaho license was held by GRANT COWAN CLARK. The license is no longer active. It was granted on 10/01/2001
LICENSE DETAILS
- License Number: TLM-3095
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 10/01/2001 (over 22 years ago)
LOCATIONS
A Residential
3005 Overlook St Apt 8 Boise ID 83703