License holder summary

JAY DEAN BURRUP is a Board Of Medicine licensed to practice in Idaho. The address on file for JAY DEAN BURRUP is 3656 W DEER FLAT RD KUNA ID 83634. This licensed professional license is not current. The license was granted 02/27/2004 and expired on 06/30/2006.

Idaho

Division of Occupational and Professional Licenses

JAY DEAN BURRUP
Board Of Medicine
License number
AT-241
Date granted
02/27/2004
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
3656 W DEER FLAT RD KUNA ID 83634
idaholicensing.com
ID 48342052
LAST UPDATED 2024-03-17 19:52:23 UTC

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