Idaho
Division of Occupational and Professional Licenses
STEPHEN R. RICHARDSON
Board Of Medicine
License number
M-3773
Date granted
04/23/1978
Date expires
06/30/1988
Class
Board Of Medicine
Status
Canceled
Address
2868 W. "E" Ave. Kalamazoo MI 49007
idaholicensing.com
ID 48346090
LAST UPDATED 2024-04-03 17:48:54 UTC
LAST UPDATED 2024-04-03 17:48:54 UTC
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