License holder summary

GENEVA M. MATLOCK is a Board Of Medicine licensed to practice in Idaho. The address on file for GENEVA M. MATLOCK is 22 Barlovento Court Newport Beach CA 92660. This licensed professional license is not current. The license was granted 01/15/1963 and expired on 01/15/1963.

Idaho

Division of Occupational and Professional Licenses

GENEVA M. MATLOCK
Board Of Medicine
License number
M-2602
Date granted
01/15/1963
Date expires
01/15/1963
Class
Board Of Medicine
Status
Canceled
Address
22 Barlovento Court Newport Beach CA 92660
idaholicensing.com
ID 48338323
LAST UPDATED 2024-04-15 16:48:02 UTC

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