STANTON CLARK PACKARD
Idaho M-9002 Canceled
This Idaho license was held by STANTON CLARK PACKARD. The license is no longer active. It was granted on 03/05/2004 and expired on 06/30/1993
LICENSE DETAILS
- License Number: M-9002
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/05/2004 (about 20 years ago)
- Expiry Date: 06/30/1993 (almost 31 years ago)
LOCATIONS
A Residential
524 Carson Ave Dumas TX 79029