Idaho
Division of Occupational and Professional Licenses
MATT ALAN BAPTISTA
Board Of Medicine
License number
M-7126
Date granted
10/15/1996
Date expires
06/30/2002
Class
Board Of Medicine
Status
Canceled
Address
9401 Trail Stone Pt CENTERVILLE OH 45458
idaholicensing.com
ID 48337003
LAST UPDATED 2026-04-02 02:19:42 UTC
LAST UPDATED 2026-04-02 02:19:42 UTC
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