Idaho
Division of Occupational and Professional Licenses
KIMBERLY ERIN MATZ
Board Of Medicine
License number
MSO-0119
Date granted
12/19/2014
Date expires
06/30/2015
Class
Board Of Medicine
Status
Expired
Address
2026 27TH PLACE SE PUYALLUP WA 98372
idaholicensing.com
ID 48338359
LAST UPDATED 2026-05-25 19:30:31 UTC
LAST UPDATED 2026-05-25 19:30:31 UTC
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