Idaho
Division of Occupational and Professional Licenses
BRUCE O. BURNHAM
Board Of Medicine
License number
M-3798
Date granted
07/17/1978
Date expires
07/01/1976
Class
Board Of Medicine
Status
Canceled
Address
525 Elizabeth Street Salt Lake City UT 84102
idaholicensing.com
ID 48336011
LAST UPDATED 2024-01-24 12:47:04 UTC
LAST UPDATED 2024-01-24 12:47:04 UTC
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