License holder summary

FAYTHE ELAINE MARTIN is a Board Of Medicine licensed to practice in Idaho. The address on file for FAYTHE ELAINE MARTIN is PMB 151 West Hills CA 91307. This licensed professional license is not current. The license was granted 12/02/1996 and expired on 07/03/2001.

Idaho

Division of Occupational and Professional Licenses

FAYTHE ELAINE MARTIN
Board Of Medicine
License number
LRT-600
Date granted
12/02/1996
Date expires
07/03/2001
Class
Board Of Medicine
Status
Canceled
Address
PMB 151 West Hills CA 91307
idaholicensing.com
ID 48371636
LAST UPDATED 2024-05-16 01:44:31 UTC

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