Michael Calvin Clark

Idaho  LRT-357   Canceled

This Idaho license was held by Michael Calvin Clark. The license is no longer active. It was granted on 08/03/1992 and expired on 07/02/1993

LICENSE DETAILS

  • License Number: LRT-357
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 08/03/1992 (over 32 years ago)
  • Expiry Date: 07/02/1993 (almost 32 years ago)

LOCATIONS

A Residential

PO Box 50784 IDAHO FALLS ID 83405