License holder summary

Theodore Ed Martin is a Medical - Physician licensed to practice in Colorado. The address on file for Theodore Ed Martin is 903 SOUTH 12TH STREET, ROCKY FORD, CO, 81067-1067. This licensed professional license is not current. The license was granted 06/25/1962 and expired on 11/13/1996.

Colorado

Division of Professions and Occupations

Theodore Ed Martin
Medical - Physician
License number
14039
Date granted
06/25/1962
Date expires
11/13/1996
Class
Medical - Physician
Status
Surrendered
Address
903 SOUTH 12TH STREET, ROCKY FORD, CO, 81067-1067
coloradolicensing.org
ID 27455659
LAST UPDATED 2024-04-17 06:16:18 UTC

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