Dr. MATTHEW JAY FACKRELL
Idaho O-0447 Renewed
This Idaho license is held by Dr. MATTHEW JAY FACKRELL. The license is currently active. It was granted on 05/15/2007 and expired on 06/30/2017
LICENSE DETAILS
- License Number: O-0447
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 05/15/2007 (about 18 years ago)
- Expiry Date: 06/30/2017 (almost 8 years ago)
LOCATIONS
A Residential
1441 Parkway Blackfoot ID 83221
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