MATT TANNENBAUM
Idaho M-7775 Renewed
This Idaho license is held by MATT TANNENBAUM. The license is currently active. It was granted on 06/05/1999 and expired on 06/30/2018
LICENSE DETAILS
- License Number: M-7775
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 06/05/1999 (almost 26 years ago)
- Expiry Date: 06/30/2018 (almost 7 years ago)
LOCATIONS
A Residential
3100 Channing Way IDAHO FALLS ID 83404
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