License holder summary

JERALD MILLER BURGESS is a Board Of Medicine licensed to practice in Idaho. The address on file for JERALD MILLER BURGESS is PO BOX 99 WHITLEY CITY KY 42653. This licensed professional license is not current. The license was granted 05/16/2005 and expired on 06/30/2007.

Idaho

Division of Occupational and Professional Licenses

JERALD MILLER BURGESS
Board Of Medicine
License number
M-9282
Date granted
05/16/2005
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 99 WHITLEY CITY KY 42653
idaholicensing.com
ID 48341956
LAST UPDATED 2024-03-30 08:24:42 UTC

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