Idaho
Division of Occupational and Professional Licenses
MATTHEW PENN CHANIN
Board Of Medicine
License number
M-10123
Date granted
12/11/2007
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5400 KENNEDY AVE CINCINNATI OH 45213
idaholicensing.com
ID 48343099
LAST UPDATED 2026-03-22 15:50:30 UTC
LAST UPDATED 2026-03-22 15:50:30 UTC
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