License holder summary

KEDRON FAIRFAX JERSILD HOLLAND BURNETT is a Board Of Medicine licensed to practice in Idaho. The address on file for KEDRON FAIRFAX JERSILD HOLLAND BURNETT is Boise VA Medical Center Boise ID 83702. This licensed professional license is current. The license was granted 11/10/2004 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KEDRON FAIRFAX JERSILD HOLLAND BURNETT
Board Of Medicine
License number
PA-527
Date granted
11/10/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
Boise VA Medical Center Boise ID 83702
idaholicensing.com
ID 48342165
LAST UPDATED 2024-04-15 09:14:28 UTC

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