License holder summary

RICHARD NATHANIEL MATTIS is a Board Of Medicine licensed to practice in Idaho. The address on file for RICHARD NATHANIEL MATTIS is 2921 E SUNDOWN DR COEUR D ALENE ID 83815. This licensed professional license is current. The license was granted 02/24/2005 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

RICHARD NATHANIEL MATTIS
Board Of Medicine
License number
M-9219
Date granted
02/24/2005
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2921 E SUNDOWN DR COEUR D ALENE ID 83815
idaholicensing.com
ID 48338353
LAST UPDATED 2024-04-11 07:29:27 UTC

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