Idaho
Division of Occupational and Professional Licenses
KATIE JO MARTIN
Board Of Medicine
License number
MSM-0440
Date granted
06/26/2014
Date expires
06/30/2015
Class
Board Of Medicine
Status
Expired
Address
5035 NE 44TH AVE SEATTLE WA 98105
idaholicensing.com
ID 48371660
LAST UPDATED 2024-03-12 05:30:46 UTC
LAST UPDATED 2024-03-12 05:30:46 UTC
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