Idaho
Division of Occupational and Professional Licenses
LARRY SHAY RICHARDSON
Board Of Medicine
License number
M-9735
Date granted
10/23/2006
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
4321 KYLEIGH DR FORT WORTH TX 76123
idaholicensing.com
ID 48346077
LAST UPDATED 2024-04-21 18:17:03 UTC
LAST UPDATED 2024-04-21 18:17:03 UTC
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