License holder summary

MARTIN GRISSOM is a Board Of Medicine licensed to practice in Idaho. The address on file for MARTIN GRISSOM is 999 EXECUTIVE PKWY STE 320 SAINT LOUIS MO 63141. This licensed professional license is not current. The license was granted 07/31/2007 and expired on 08/01/2009.

Idaho

Division of Occupational and Professional Licenses

MARTIN GRISSOM
Board Of Medicine
License number
M-10019
Date granted
07/31/2007
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
999 EXECUTIVE PKWY STE 320 SAINT LOUIS MO 63141
idaholicensing.com
ID 48351754
LAST UPDATED 2024-04-11 05:03:38 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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