License holder summary

AUTUMN LEE MARTIN is a Board Of Medicine licensed to practice in Idaho. The address on file for AUTUMN LEE MARTIN is 2150 STAR LANE MERIDIAN ID 83646. This licensed professional license is current. The license was granted 09/01/2016 and expired on 08/03/2018.

Idaho

Division of Occupational and Professional Licenses

AUTUMN LEE MARTIN
Board Of Medicine
License number
PAT-1427
Date granted
09/01/2016
Date expires
08/03/2018
Class
Board Of Medicine
Status
Licensed
Address
2150 STAR LANE MERIDIAN ID 83646
idaholicensing.com
ID 48371615
LAST UPDATED 2024-04-26 08:34:41 UTC

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