License holder summary

SOREN MATTHEW GANTT is a Board Of Medicine licensed to practice in Idaho. The address on file for SOREN MATTHEW GANTT is POCATELLO CHILDRENS CLINIC POCATELLO ID 83205. This licensed professional license is not current. The license was granted 07/01/2002.

Idaho

Division of Occupational and Professional Licenses

SOREN MATTHEW GANTT
Board Of Medicine
License number
MRM-734
Date granted
07/01/2002
Class
Board Of Medicine
Status
Canceled
Address
POCATELLO CHILDRENS CLINIC POCATELLO ID 83205
idaholicensing.com
ID 48350521
LAST UPDATED 2024-03-11 20:16:00 UTC

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