Idaho
Division of Occupational and Professional Licenses
CANDIE MICHELLE RICHARDSON
Board Of Medicine
License number
M-9509
Date granted
03/03/2006
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
3808 N GARRY RD OTIS ORCHARDS WA 99027
idaholicensing.com
ID 48346068
LAST UPDATED 2024-03-16 21:03:26 UTC
LAST UPDATED 2024-03-16 21:03:26 UTC
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