Idaho
Division of Occupational and Professional Licenses
MATTHEW CARPENTER CROOTOF
Board Of Medicine
License number
PAT-1258
Date granted
09/25/2014
Date expires
08/05/2016
Class
Board Of Medicine
Status
Expired
Address
735 W BONNEVILLE ST POCATELLO ID 83204
idaholicensing.com
ID 48344367
LAST UPDATED 2026-03-27 05:09:14 UTC
LAST UPDATED 2026-03-27 05:09:14 UTC
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