License holder summary

MATT DAVID CHARLTON is a Board Of Medicine licensed to practice in Idaho. The address on file for MATT DAVID CHARLTON is 320 WARNER DRIVE LEWISTON ID 83501. This licensed professional license is not current. The license was granted 12/28/2011 and expired on 08/01/2013.

Idaho

Division of Occupational and Professional Licenses

MATT DAVID CHARLTON
Board Of Medicine
License number
PA-959
Date granted
12/28/2011
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
320 WARNER DRIVE LEWISTON ID 83501
idaholicensing.com
ID 48343107
LAST UPDATED 2024-02-23 11:00:45 UTC

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