License holder summary

KRYSTAL LEE BURNINGHAM is a Board Of Medicine licensed to practice in Idaho. The address on file for KRYSTAL LEE BURNINGHAM is 472 KENT DRIVE NORTH SALT LAKE UT 84054. This licensed professional license is not current. The license was granted 10/25/2011 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

KRYSTAL LEE BURNINGHAM
Board Of Medicine
License number
LRT-1581
Date granted
10/25/2011
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
472 KENT DRIVE NORTH SALT LAKE UT 84054
idaholicensing.com
ID 48336013
LAST UPDATED 2024-04-21 17:31:00 UTC

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