Idaho
Division of Occupational and Professional Licenses
MATTEW DEAN GRIMES
Board Of Medicine
License number
MSM-0018
Date granted
07/01/2011
Date expires
06/30/2013
Class
Board Of Medicine
Status
Expired
Address
611 BRUMBACK ST BOISE ID 83702
idaholicensing.com
ID 48348567
LAST UPDATED 2026-05-27 13:01:10 UTC
LAST UPDATED 2026-05-27 13:01:10 UTC
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