Idaho
Division of Occupational and Professional Licenses
Dr. CARISSA MICHELLE RICHARDSON
Board Of Medicine
License number
M-13322
Date granted
06/09/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
815 2ND ST SE LITTLE FALLS MN 56345
idaholicensing.com
ID 48346070
LAST UPDATED 2024-04-21 02:14:48 UTC
LAST UPDATED 2024-04-21 02:14:48 UTC
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