License holder summary

MARTIN RAYMOND TICE is a Board Of Medicine licensed to practice in Idaho. The address on file for MARTIN RAYMOND TICE is PO Box 4206 MEDFORD OR 97501. This licensed professional license is not current. The license was granted 04/04/2003 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

MARTIN RAYMOND TICE
Board Of Medicine
License number
M-8771
Date granted
04/04/2003
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
PO Box 4206 MEDFORD OR 97501
idaholicensing.com
ID 48342943
LAST UPDATED 2024-02-04 05:26:25 UTC

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