License holder summary

Dr. MATTHEW L DIVIETRO is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. MATTHEW L DIVIETRO is 2347 East Gala Street Meridian ID 83642. This licensed professional license is current. The license was granted 05/30/2013 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. MATTHEW L DIVIETRO
Board Of Medicine
License number
O-0727
Date granted
05/30/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2347 East Gala Street Meridian ID 83642
idaholicensing.com
ID 48345195
LAST UPDATED 2024-03-28 20:01:47 UTC

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