MATTHEW RICHARD MACHA
Idaho TLM-2445 Upgraded
This Idaho license was held by MATTHEW RICHARD MACHA. The license is no longer active. It was granted on 07/28/1995
LICENSE DETAILS
- License Number: TLM-2445
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 07/28/1995 (almost 31 years ago)
LOCATIONS
A Residential
323 E Riverside Drive, Ste 220 EAGLE ID 83616