Idaho
Division of Occupational and Professional Licenses
LEISA MARIE RICHARDSON
Board Of Medicine
License number
LRT-1361
Date granted
04/23/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5265 Umatilla Avenue Boise ID 83709
idaholicensing.com
ID 48346079
LAST UPDATED 2024-02-05 11:53:21 UTC
LAST UPDATED 2024-02-05 11:53:21 UTC
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