Idaho
Division of Occupational and Professional Licenses
JORDAN LEE MATTHEWS
Board Of Medicine
License number
LRT-1949
Date granted
06/06/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
2783 W Fairway Dr Coeur D Alene ID 83815
idaholicensing.com
ID 48338346
LAST UPDATED 2024-03-04 02:36:54 UTC
LAST UPDATED 2024-03-04 02:36:54 UTC
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