License holder summary

MATTHEW MICHAEL GERVASE is a Board Of Medicine licensed to practice in Idaho. The address on file for MATTHEW MICHAEL GERVASE is PO Box 300 Hailey ID 83333. This licensed professional license is not current. The license was granted 11/08/1999 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

MATTHEW MICHAEL GERVASE
Board Of Medicine
License number
D-329
Date granted
11/08/1999
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
PO Box 300 Hailey ID 83333
idaholicensing.com
ID 48337828
LAST UPDATED 2024-02-20 17:40:16 UTC

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