Idaho
Division of Occupational and Professional Licenses
JENS PETER BURNETT
Board Of Medicine
License number
LRT-1759
Date granted
03/31/2014
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
601 E JEFFERSON RD CHEYENNE WY 82007
idaholicensing.com
ID 48342005
LAST UPDATED 2024-02-09 14:06:22 UTC
LAST UPDATED 2024-02-09 14:06:22 UTC
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