Idaho
Division of Occupational and Professional Licenses
KIMBERLY JOYCE BURKHOLZ
Board Of Medicine
License number
M-9914
Date granted
04/30/2007
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
11995 SINGLETREE LANE STE 500 EDEN PRAIRIE MN 55344
idaholicensing.com
ID 48341993
LAST UPDATED 2024-04-16 03:54:44 UTC
LAST UPDATED 2024-04-16 03:54:44 UTC
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