LISA KAYE MATTHIESEN
Idaho D-328 Canceled
This Idaho license was held by LISA KAYE MATTHIESEN. The license is no longer active. It was granted on 09/15/1999 and expired on 06/30/2003
LICENSE DETAILS
- License Number: D-328
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/15/1999 (over 24 years ago)
- Expiry Date: 06/30/2003 (almost 21 years ago)
LOCATIONS
A Residential
6 Bell Dr Ottumwa IA 52501