Idaho
Division of Occupational and Professional Licenses
MATTHEW JARED FRADKIN
Board Of Medicine
License number
MRM-1380
Date granted
04/28/2014
Date expires
06/30/2015
Class
Board Of Medicine
Status
Expired
Address
2612 NW 58TH ST #6 (No City In Record) ID UnAssigned
idaholicensing.com
ID 48329873
LAST UPDATED 2024-03-18 12:36:49 UTC
LAST UPDATED 2024-03-18 12:36:49 UTC
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