License holder summary

MATTHEW GORDON LASSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for MATTHEW GORDON LASSEN is 719 S. Main St. Moscow ID 83843. This licensed professional license is not current. The license was granted 01/12/2015.

Idaho

Division of Occupational and Professional Licenses

MATTHEW GORDON LASSEN
Board Of Medicine
License number
GPA-059
Date granted
01/12/2015
Class
Board Of Medicine
Status
Upgraded
Address
719 S. Main St. Moscow ID 83843
idaholicensing.com
ID 48337935
LAST UPDATED 2024-03-29 10:21:26 UTC

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