Idaho
Division of Occupational and Professional Licenses
JUSTIN ALAN BURNINGHAM
Board Of Medicine
License number
LRT-1331
Date granted
07/24/2008
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
1904 e 2100 n Layton UT 84040
idaholicensing.com
ID 48336012
LAST UPDATED 2026-05-01 20:56:46 UTC
LAST UPDATED 2026-05-01 20:56:46 UTC
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