License holder summary

MICHAEL JON MATTICE is a Board Of Medicine licensed to practice in Idaho. The address on file for MICHAEL JON MATTICE is 1239 Southwest Wood #J Portland OR 97201. This licensed professional license is not current. The license was granted 05/05/1979 and expired on 05/05/1979.

Idaho

Division of Occupational and Professional Licenses

MICHAEL JON MATTICE
Board Of Medicine
License number
M-3921
Date granted
05/05/1979
Date expires
05/05/1979
Class
Board Of Medicine
Status
Canceled
Address
1239 Southwest Wood #J Portland OR 97201
idaholicensing.com
ID 48338351
LAST UPDATED 2024-03-25 19:25:47 UTC

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