MATTHEW RICHARD MACHA
Idaho SPHY-6834 Canceled
This Idaho license was held by MATTHEW RICHARD MACHA. The license is no longer active. It was granted on 09/09/1995
LICENSE DETAILS
- License Number: SPHY-6834
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/09/1995 (over 28 years ago)
LOCATIONS
A Residential
323 E Riverside Drive, Ste 220 EAGLE ID 83616