Idaho
Division of Occupational and Professional Licenses
Dr. MICHAEL Brent RICHARDSON
Board Of Medicine
License number
M-12022
Date granted
05/22/2013
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
3033 N Windsong DR STE 102 PRESCOTT VALLEY AZ 86314
idaholicensing.com
ID 48346080
LAST UPDATED 2024-03-11 19:22:40 UTC
LAST UPDATED 2024-03-11 19:22:40 UTC
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