License holder summary

MARTHA H TANNER is a Board Of Medicine licensed to practice in Idaho. The address on file for MARTHA H TANNER is 2175 Tasman Ave Idaho Falls ID 83404. This licensed professional license is not current. The license was granted 01/11/1980 and expired on 07/14/2005.

Idaho

Division of Occupational and Professional Licenses

MARTHA H TANNER
Board Of Medicine
License number
M-4125
Date granted
01/11/1980
Date expires
07/14/2005
Class
Board Of Medicine
Status
Canceled
Address
2175 Tasman Ave Idaho Falls ID 83404
idaholicensing.com
ID 48371511
LAST UPDATED 2024-04-10 14:23:13 UTC

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