Idaho
Division of Occupational and Professional Licenses
Dr. AMY KM MATHENY
Board Of Medicine
License number
M-11147
Date granted
11/08/2010
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
401 Railroad Street West Missoula MT 59802
idaholicensing.com
ID 48338303
LAST UPDATED 2024-03-29 16:05:08 UTC
LAST UPDATED 2024-03-29 16:05:08 UTC
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