License holder summary

BRANDIE NICCOLE MATSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for BRANDIE NICCOLE MATSEN is 1960 Lexington Avenue Idaho Falls ID 83404. This licensed professional license is current. The license was granted 08/25/2011 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

BRANDIE NICCOLE MATSEN
Board Of Medicine
License number
LRT-1560
Date granted
08/25/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1960 Lexington Avenue Idaho Falls ID 83404
idaholicensing.com
ID 48338325
LAST UPDATED 2024-04-05 19:09:30 UTC

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