MATTHEW GORDON LASSEN
Idaho TLP-045 Voided
This Idaho license was held by MATTHEW GORDON LASSEN. The license is no longer active. It was granted on 01/09/2015
LICENSE DETAILS
- License Number: TLP-045
- Category: Board Of Medicine
- Status: Voided
- Date Granted: 01/09/2015 (about 9 years ago)
LOCATIONS
A Residential
719 S. Main St. Moscow ID 83843