GREGORY C. MATTSON
Idaho M-3656 Canceled
This Idaho license was held by GREGORY C. MATTSON. The license is no longer active. It was granted on 07/17/1977 and expired on 07/02/1993
LICENSE DETAILS
- License Number: M-3656
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/17/1977 (almost 48 years ago)
- Expiry Date: 07/02/1993 (almost 32 years ago)
LOCATIONS
A Residential
59-436 Makana Road Haleiwa HI 96712