JACK OSBORNE CLARK
Idaho SPHY-7743 Canceled
This Idaho license was held by JACK OSBORNE CLARK. The license is no longer active. It was granted on 05/20/1999 and expired on 02/01/2016
LICENSE DETAILS
- License Number: SPHY-7743
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 05/20/1999 (almost 26 years ago)
- Expiry Date: 02/01/2016 (about 9 years ago)
LOCATIONS
A Residential
2860 Channing Way Idaho Falls ID 83404