Idaho
Division of Occupational and Professional Licenses
GREGORY C. MATTSON
Board Of Medicine
License number
M-3656
Date granted
07/17/1977
Date expires
07/02/1993
Class
Board Of Medicine
Status
Canceled
Address
59-436 Makana Road Haleiwa HI 96712
idaholicensing.com
ID 48338356
LAST UPDATED 2024-02-21 23:06:59 UTC
LAST UPDATED 2024-02-21 23:06:59 UTC
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