License holder summary

MANUELA CRISTINA MATESAN is a Board Of Medicine licensed to practice in Idaho. The address on file for MANUELA CRISTINA MATESAN is 500 W FORT ST BOISE ID 83702. This licensed professional license is not current. The license was granted 06/25/2007 and expired on 06/25/2008.

Idaho

Division of Occupational and Professional Licenses

MANUELA CRISTINA MATESAN
Board Of Medicine
License number
MRM-0948
Date granted
06/25/2007
Date expires
06/25/2008
Class
Board Of Medicine
Status
Expired
Address
500 W FORT ST BOISE ID 83702
idaholicensing.com
ID 48338301
LAST UPDATED 2024-04-27 03:06:33 UTC

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