License holder summary

LISA KAYE MATTHIESEN is a Board Of Medicine licensed to practice in Idaho. The address on file for LISA KAYE MATTHIESEN is 6 Bell Dr Ottumwa IA 52501. This licensed professional license is not current. The license was granted 09/15/1999 and expired on 06/30/2003.

Idaho

Division of Occupational and Professional Licenses

LISA KAYE MATTHIESEN
Board Of Medicine
License number
D-328
Date granted
09/15/1999
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
6 Bell Dr Ottumwa IA 52501
idaholicensing.com
ID 48338350
LAST UPDATED 2024-02-29 14:22:23 UTC

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