Idaho
Division of Occupational and Professional Licenses
MATTHEW FRANK IVIE
Board Of Medicine
License number
PAT-1388
Date granted
05/23/2016
Date expires
07/22/2017
Class
Board Of Medicine
Status
Licensed
Address
899 E 700 N SHELLEY ID 83274
idaholicensing.com
ID 48354188
LAST UPDATED 2024-04-23 15:56:46 UTC
LAST UPDATED 2024-04-23 15:56:46 UTC
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