License holder summary

RUSSELL JACK RICHARDSON is a Board Of Medicine licensed to practice in Idaho. The address on file for RUSSELL JACK RICHARDSON is ISU SPORTS SCIENCE POCATELLO ID 83209. This licensed professional license is not current. The license was granted 10/04/2011 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

RUSSELL JACK RICHARDSON
Board Of Medicine
License number
AT-414
Date granted
10/04/2011
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
ISU SPORTS SCIENCE POCATELLO ID 83209
idaholicensing.com
ID 48346088
LAST UPDATED 2024-02-03 05:38:46 UTC

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