License holder summary

Dr. JOEL EDUARDO MATA is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. JOEL EDUARDO MATA is 3180 W. CANYON AVENUE SAN DIEGO CA 92123. This licensed professional license is not current. The license was granted 11/03/2014 and expired on 08/01/2016.

Idaho

Division of Occupational and Professional Licenses

Dr. JOEL EDUARDO MATA
Board Of Medicine
License number
M-12711
Date granted
11/03/2014
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
3180 W. CANYON AVENUE SAN DIEGO CA 92123
idaholicensing.com
ID 48338297
LAST UPDATED 2024-03-25 09:54:25 UTC

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