License holder summary

DALE EDWARD MARTIN is a Board Of Medicine licensed to practice in Idaho. The address on file for DALE EDWARD MARTIN is 5222 Balboa Ave San Diego CA 92117. This licensed professional license is not current. The license was granted 11/16/2001 and expired on 06/30/2005.

Idaho

Division of Occupational and Professional Licenses

DALE EDWARD MARTIN
Board Of Medicine
License number
M-8353
Date granted
11/16/2001
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
5222 Balboa Ave San Diego CA 92117
idaholicensing.com
ID 48371627
LAST UPDATED 2024-02-29 16:36:33 UTC

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