Idaho
Division of Occupational and Professional Licenses
BRIAN ROGER MARTIN
Board Of Medicine
License number
PA-420
Date granted
10/15/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO Box 681 MIDDLETON ID 83644
idaholicensing.com
ID 48371621
LAST UPDATED 2024-03-01 19:59:23 UTC
LAST UPDATED 2024-03-01 19:59:23 UTC
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