Idaho
Division of Occupational and Professional Licenses
Dr. MATTHEW WAYNE BUTRUM
Board Of Medicine
License number
M-13482
Date granted
10/13/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
5121 COTTONWOOD STREET SALT LAKE CITY UT 84157
idaholicensing.com
ID 48342123
LAST UPDATED 2024-03-16 18:09:37 UTC
LAST UPDATED 2024-03-16 18:09:37 UTC
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