Idaho
Division of Occupational and Professional Licenses
SUSAN LATTEIER RICHARDS
Board Of Medicine
License number
D-149
Date granted
12/22/1994
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
3401 Crestwood Lane Idaho Falls ID 83404
idaholicensing.com
ID 48346062
LAST UPDATED 2024-03-09 00:54:49 UTC
LAST UPDATED 2024-03-09 00:54:49 UTC
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