License holder summary

MATT TANNENBAUM is a Board Of Medicine licensed to practice in Idaho. The address on file for MATT TANNENBAUM is 3100 Channing Way IDAHO FALLS ID 83404. This licensed professional license is current. The license was granted 06/05/1999 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

MATT TANNENBAUM
Board Of Medicine
License number
M-7775
Date granted
06/05/1999
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
3100 Channing Way IDAHO FALLS ID 83404
idaholicensing.com
ID 48338891
LAST UPDATED 2024-05-15 08:42:59 UTC

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