Idaho
Division of Occupational and Professional Licenses
MATTHEW MARINER BINGHAM
Board Of Medicine
License number
MSM-0120
Date granted
07/01/2012
Date expires
06/30/2014
Class
Board Of Medicine
Status
Expired
Address
1623 S MICHIGAN AVE BOISE ID 83706
idaholicensing.com
ID 48335998
LAST UPDATED 2024-02-12 21:48:49 UTC
LAST UPDATED 2024-02-12 21:48:49 UTC
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