Idaho
Division of Occupational and Professional Licenses
MATTHEW CONRAD LYSNE
Board Of Medicine
License number
M-5825
Date granted
05/28/1991
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
24982 Arrow Highline Road JULIAETTA ID 83535
idaholicensing.com
ID 48358122
LAST UPDATED 2026-05-07 04:35:39 UTC
LAST UPDATED 2026-05-07 04:35:39 UTC
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