License holder summary

Dr. PHILLIP Matthew GRANDSTAFF is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. PHILLIP Matthew GRANDSTAFF is 230 W SUNSET DR SOUTH PADRE ISLAND TX 78597. This licensed professional license is current. The license was granted 11/29/2013 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. PHILLIP Matthew GRANDSTAFF
Board Of Medicine
License number
M-12233
Date granted
11/29/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
230 W SUNSET DR SOUTH PADRE ISLAND TX 78597
idaholicensing.com
ID 48334103
LAST UPDATED 2024-04-03 21:39:31 UTC

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