Idaho
Division of Occupational and Professional Licenses
RICHARD WILLIAM WADSWORTH
Board Of Medicine
License number
MSO-0205
Date granted
06/15/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
5503 TUMAC DR YAKIMA WA 98901
idaholicensing.com
ID 48332574
LAST UPDATED 2024-04-18 22:28:10 UTC
LAST UPDATED 2024-04-18 22:28:10 UTC
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