License holder summary

CHAD RICHARD DOUGLAS is a Board Of Medicine licensed to practice in Idaho. The address on file for CHAD RICHARD DOUGLAS is 5010 N DRURY RD OTIS ORCHARDS WA 99027. This licensed professional license is not current. The license was granted 07/04/2011 and expired on 07/04/2013.

Idaho

Division of Occupational and Professional Licenses

CHAD RICHARD DOUGLAS
Board Of Medicine
License number
MSO-0004
Date granted
07/04/2011
Date expires
07/04/2013
Class
Board Of Medicine
Status
Expired
Address
5010 N DRURY RD OTIS ORCHARDS WA 99027
idaholicensing.com
ID 48337768
LAST UPDATED 2024-04-09 19:35:50 UTC

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