Idaho
Division of Occupational and Professional Licenses
JOHN H. MATTOX
Board Of Medicine
License number
M-2896
Date granted
01/12/1970
Date expires
01/12/1970
Class
Board Of Medicine
Status
Canceled
Address
1801 North Grand Pullman WA 99163
idaholicensing.com
ID 48338355
LAST UPDATED 2026-03-29 15:55:45 UTC
LAST UPDATED 2026-03-29 15:55:45 UTC
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