Idaho
Division of Occupational and Professional Licenses
MATTHEW THOMAS STARK
Board Of Medicine
License number
PAT-624
Date granted
07/30/2008
Date expires
08/31/2009
Class
Board Of Medicine
Status
Expired
Address
2915 NE REDWOOD DR MCMINNVILLE OR 97128
idaholicensing.com
ID 48362636
LAST UPDATED 2024-02-16 07:33:13 UTC
LAST UPDATED 2024-02-16 07:33:13 UTC
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