License holder summary

Dr. NATASHA VANESSA DEMATTOS is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. NATASHA VANESSA DEMATTOS is 3326 4th St. Lewiston ID 83501. This licensed professional license is current. The license was granted 09/19/2011 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

Dr. NATASHA VANESSA DEMATTOS
Board Of Medicine
License number
M-11445
Date granted
09/19/2011
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
3326 4th St. Lewiston ID 83501
idaholicensing.com
ID 48338129
LAST UPDATED 2024-03-06 03:00:08 UTC

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