Idaho
Division of Occupational and Professional Licenses
MENDY MICHELLE BURNS
Board Of Medicine
License number
LRT-1348
Date granted
10/28/2008
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
6277 S ROCKROSE WAY BOISE ID 83716
idaholicensing.com
ID 48342021
LAST UPDATED 2024-02-08 12:22:34 UTC
LAST UPDATED 2024-02-08 12:22:34 UTC
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