License holder summary

VICKIE ANN MARTIN is a Board Of Medicine licensed to practice in Idaho. The address on file for VICKIE ANN MARTIN is 3106 127TH AVENUE NE LAKE STEVENS WA 98258. This licensed professional license is not current. The license was granted 09/02/2003 and expired on 06/30/2006.

Idaho

Division of Occupational and Professional Licenses

VICKIE ANN MARTIN
Board Of Medicine
License number
PA-461
Date granted
09/02/2003
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
3106 127TH AVENUE NE LAKE STEVENS WA 98258
idaholicensing.com
ID 48371680
LAST UPDATED 2024-02-23 16:12:35 UTC

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