Idaho
Division of Occupational and Professional Licenses
MATTHEW DANIEL PHILLIPS
Board Of Medicine
License number
PAT-1191
Date granted
09/25/2014
Date expires
08/05/2016
Class
Board Of Medicine
Status
Expired
Address
7057 W BELHAVEN DR BOISE ID 83714
idaholicensing.com
ID 48352541
LAST UPDATED 2024-02-16 15:02:46 UTC
LAST UPDATED 2024-02-16 15:02:46 UTC
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