Idaho
Division of Occupational and Professional Licenses
Dr. MICHAEL DAVID MADISON
Board Of Medicine
License number
MRO-1420
Date granted
06/11/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
500 W FORT ST BOISE ID 83702
idaholicensing.com
ID 48329979
LAST UPDATED 2024-02-21 00:17:12 UTC
LAST UPDATED 2024-02-21 00:17:12 UTC
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