MICHAEL JON MATTICE
Idaho TLM-1025 Upgraded
This Idaho license was held by MICHAEL JON MATTICE. The license is no longer active. It was granted on 03/02/1979
LICENSE DETAILS
- License Number: TLM-1025
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 03/02/1979 (about 46 years ago)
LOCATIONS
A Residential
1239 Southwest Wood #J Portland OR 97201