Idaho
Division of Occupational and Professional Licenses
RALPH R. DIMATTIA
Board Of Medicine
License number
M-4543
Date granted
08/23/1982
Date expires
07/01/1984
Class
Board Of Medicine
Status
Canceled
Address
9332 Kite Street Burke VA 22015
idaholicensing.com
ID 48338131
LAST UPDATED 2026-05-29 22:46:50 UTC
LAST UPDATED 2026-05-29 22:46:50 UTC
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