Idaho
Division of Occupational and Professional Licenses
MATTHEW KERSHISNIK
Board Of Medicine
License number
M-7034
Date granted
07/18/1996
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO Box 551 LOGAN UT 84323
idaholicensing.com
ID 48352495
LAST UPDATED 2026-04-28 03:05:49 UTC
LAST UPDATED 2026-04-28 03:05:49 UTC
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