Idaho
Division of Occupational and Professional Licenses
KELLY JO MATZ
Board Of Medicine
License number
D-913
Date granted
03/14/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4526 N 108TH STREET KANSAS CITY KS 66109
idaholicensing.com
ID 48338358
LAST UPDATED 2024-03-03 16:57:33 UTC
LAST UPDATED 2024-03-03 16:57:33 UTC
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