JACK OSBORNE CLARK
Idaho M-7743 Renewed
This Idaho license is held by JACK OSBORNE CLARK. The license is currently active. It was granted on 05/20/1999 and expired on 06/30/2017
LICENSE DETAILS
- License Number: M-7743
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 05/20/1999 (almost 26 years ago)
- Expiry Date: 06/30/2017 (almost 8 years ago)
LOCATIONS
A Residential
2860 Channing Way Idaho Falls ID 83404
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