Idaho
Division of Occupational and Professional Licenses
HEATHER SHANNON-LEYH BOURKOVSKI
Board Of Medicine
License number
O-0371
Date granted
09/14/2005
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
2525 N. 8th Street Suite #202 Grand Junction CO 81501
idaholicensing.com
ID 48341294
LAST UPDATED 2024-04-14 11:33:21 UTC
LAST UPDATED 2024-04-14 11:33:21 UTC
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