Idaho
Division of Occupational and Professional Licenses
DANIELLE KEIKO MATKIN
Board Of Medicine
License number
RTS-812
Date granted
06/20/2016
Date expires
01/03/2018
Class
Board Of Medicine
Status
Licensed
Address
829 E JOSHUA TREE DR MERIDIAN ID 83646
idaholicensing.com
ID 48338322
LAST UPDATED 2024-02-08 05:28:38 UTC
LAST UPDATED 2024-02-08 05:28:38 UTC
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