Michael Calvin Clark
Idaho LRT-804 Canceled
This Idaho license was held by Michael Calvin Clark. The license is no longer active. It was granted on 02/22/2000 and expired on 08/03/2015
LICENSE DETAILS
- License Number: LRT-804
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 02/22/2000 (over 25 years ago)
- Expiry Date: 08/03/2015 (almost 10 years ago)
LOCATIONS
A Residential
PO Box 50784 IDAHO FALLS ID 83405