Idaho
Division of Occupational and Professional Licenses
ERIC SHANE BURBACK
State Occupational Therapy Licensure Board - Occupational Therapist
License number
OT - 461
Date granted
11/12/1997
Date expires
12/02/2016
Class
State Occupational Therapy Licensure Board - Occupational Therapist
Status
Current
Address
BOISE ID 83706
idaholicensing.com
ID 43728362
LAST UPDATED 2024-04-07 06:45:51 UTC
LAST UPDATED 2024-04-07 06:45:51 UTC
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