Dr. RICHARD GERALD MAXWELL
Idaho M-8610 Canceled
This Idaho license was held by Dr. RICHARD GERALD MAXWELL. The license is no longer active. It was granted on 09/14/2002 and expired on 08/01/2012
LICENSE DETAILS
- License Number: M-8610
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/14/2002 (over 22 years ago)
- Expiry Date: 08/01/2012 (almost 13 years ago)
LOCATIONS
A Residential
14587 S 790 W UNIT A STE 200 BLUFFDALE UT 84065