Dr. JOEL EDUARDO MATA
Idaho M-12711 Canceled
This Idaho license was held by Dr. JOEL EDUARDO MATA. The license is no longer active. It was granted on 11/03/2014 and expired on 08/01/2016
LICENSE DETAILS
- License Number: M-12711
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 11/03/2014 (over 10 years ago)
- Expiry Date: 08/01/2016 (over 8 years ago)
LOCATIONS
A Residential
3180 W. CANYON AVENUE SAN DIEGO CA 92123