Dr. RICHARD GERALD MAXWELL

Idaho  MI-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 The license is no longer active.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 06/30/2006

LICENSE DETAILS

  • License Number: MI-8610
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 09/14/2002 (over 22 years ago)
  • Expiry Date: 06/30/2006 (almost 19 years ago)

LOCATIONS

A Residential

14587 S 790 W UNIT A STE 200 BLUFFDALE UT 84065