License holder summary

TETEN AMANDA MARTIN is a Board Of Medicine licensed to practice in Idaho. The address on file for TETEN AMANDA MARTIN is 1302 ALDER AVE LEWISTON ID 83501. This licensed professional license is current. The license was granted 12/31/1997 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

TETEN AMANDA MARTIN
Board Of Medicine
License number
LRT-681
Date granted
12/31/1997
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1302 ALDER AVE LEWISTON ID 83501
idaholicensing.com
ID 48371676
LAST UPDATED 2024-03-10 01:35:37 UTC

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