License holder summary

ERIC SHANE BURBACK is a State Occupational Therapy Licensure Board - Occupational Therapist licensed to practice in Idaho. The address on file for ERIC SHANE BURBACK is BOISE ID 83706. This licensed professional license is current. The license was granted 11/12/1997 and expired on 12/02/2016.

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 2026-05-08 02:19:47 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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