License holder summary

Dr. MADISON MCCULLOCH is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. MADISON MCCULLOCH is RADIA INC. P.S. ATTN: Credentialing Lynnwood WA 98036. This licensed professional license is current. The license was granted 05/15/2014 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. MADISON MCCULLOCH
Board Of Medicine
License number
M-12463
Date granted
05/15/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
RADIA INC. P.S. ATTN: Credentialing Lynnwood WA 98036
idaholicensing.com
ID 48342642
LAST UPDATED 2024-04-08 05:21:29 UTC

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