Idaho
Division of Occupational and Professional Licenses
Mr. MATTHEW ZACHARY HUMPHREY
Board Of Medicine
License number
AT-482
Date granted
09/10/2013
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
1958 S DIVISION AVE BOISE ID 83706
idaholicensing.com
ID 48349408
LAST UPDATED 2024-04-19 02:19:50 UTC
LAST UPDATED 2024-04-19 02:19:50 UTC
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