MATT TANNENBAUM
Idaho TLM-2833 Upgraded
This Idaho license was held by MATT TANNENBAUM. The license is no longer active. It was granted on 05/06/1999
LICENSE DETAILS
- License Number: TLM-2833
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 05/06/1999 (almost 26 years ago)
LOCATIONS
A Residential
3100 Channing Way IDAHO FALLS ID 83404