Idaho
Division of Occupational and Professional Licenses
RICHARD L SULLIVAN
Board Of Medicine
License number
M-5112
Date granted
07/14/1986
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
921 Heartland Dr NAMPA ID 83686
idaholicensing.com
ID 48355467
LAST UPDATED 2024-01-23 14:16:25 UTC
LAST UPDATED 2024-01-23 14:16:25 UTC
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