Idaho
Division of Occupational and Professional Licenses
RICHARD LLEWELLYN TAW Jr.
Board Of Medicine
License number
M-5944
Date granted
01/21/1992
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2021 Santa Monica Blvd SANTA MONICA CA 90404
idaholicensing.com
ID 48339571
LAST UPDATED 2026-05-18 19:39:19 UTC
LAST UPDATED 2026-05-18 19:39:19 UTC
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