License holder summary

MATTHEW JAY MERZLOCK is a Board Of Medicine licensed to practice in Idaho. The address on file for MATTHEW JAY MERZLOCK is 3360 WASHINGTON PRKWY STE 1 Idaho Falls ID 83404. This licensed professional license is current. The license was granted 03/31/2005 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

MATTHEW JAY MERZLOCK
Board Of Medicine
License number
PA-553
Date granted
03/31/2005
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3360 WASHINGTON PRKWY STE 1 Idaho Falls ID 83404
idaholicensing.com
ID 48358514
LAST UPDATED 2024-04-17 09:52:11 UTC

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