License holder summary

Dr. MATTHEW JAY FACKRELL is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. MATTHEW JAY FACKRELL is 1441 Parkway Blackfoot ID 83221. This licensed professional license is current. The license was granted 05/15/2007 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. MATTHEW JAY FACKRELL
Board Of Medicine
License number
O-0447
Date granted
05/15/2007
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1441 Parkway Blackfoot ID 83221
idaholicensing.com
ID 48329317
LAST UPDATED 2024-02-25 09:55:05 UTC

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