License holder summary

MATTHEW ADAM PETROVICH is a Board Of Medicine licensed to practice in Idaho. The address on file for MATTHEW ADAM PETROVICH is 1625 BURLIN WAY AUBURN CA 95603. This licensed professional license is not current. The license was granted 01/13/2015.

Idaho

Division of Occupational and Professional Licenses

MATTHEW ADAM PETROVICH
Board Of Medicine
License number
LRT-1852
Date granted
01/13/2015
Class
Board Of Medicine
Status
Canceled
Address
1625 BURLIN WAY AUBURN CA 95603
idaholicensing.com
ID 48354117
LAST UPDATED 2024-03-19 16:18:13 UTC

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