Idaho
Division of Occupational and Professional Licenses
RICHARD L CONVERSE
Board Of Medicine
License number
M-6668
Date granted
02/27/1995
Class
Board Of Medicine
Status
Active
Address
425 Windsong Ln Corrales NM 87048
idaholicensing.com
ID 48344108
LAST UPDATED 2026-03-27 18:12:16 UTC
LAST UPDATED 2026-03-27 18:12:16 UTC
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