T CLARK ROBINSON IV
Idaho DPHY-8080 Canceled
This Idaho license was held by T CLARK ROBINSON IV. The license is no longer active. It was granted on 11/02/2004 and expired on 02/03/2014
LICENSE DETAILS
- License Number: DPHY-8080
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 11/02/2004 (over 20 years ago)
- Expiry Date: 02/03/2014 (over 11 years ago)
LOCATIONS
A Residential
4424 E. Flamingo Ave NAMPA ID 83687