License holder summary

LEISA MARIE RICHARDSON is a Board Of Medicine licensed to practice in Idaho. The address on file for LEISA MARIE RICHARDSON is 5265 Umatilla Avenue Boise ID 83709. This licensed professional license is current. The license was granted 04/23/2009 and expired on 06/30/2017.

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

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