License holder summary

JAMIE NICHOLE BORNITZ is a Board Of Medicine licensed to practice in Idaho. The address on file for JAMIE NICHOLE BORNITZ is 7597 N Sweetriver Dr COEUR D ALENE ID 83815. This licensed professional license is not current. The license was granted 05/17/2005 and expired on 08/01/2011.

Idaho

Division of Occupational and Professional Licenses

JAMIE NICHOLE BORNITZ
Board Of Medicine
License number
AT-264
Date granted
05/17/2005
Date expires
08/01/2011
Class
Board Of Medicine
Status
Canceled
Address
7597 N Sweetriver Dr COEUR D ALENE ID 83815
idaholicensing.com
ID 48341239
LAST UPDATED 2024-02-25 07:17:51 UTC

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