Idaho
Division of Occupational and Professional Licenses
Dr. RICHARD GERALD MAXWELL
Board Of Medicine
License number
M-8610
Date granted
09/14/2002
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
14587 S 790 W UNIT A STE 200 BLUFFDALE UT 84065
idaholicensing.com
ID 48339614
LAST UPDATED 2024-04-17 06:45:17 UTC
LAST UPDATED 2024-04-17 06:45:17 UTC
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