License holder summary

LESLIE IRENE BURNSIDE is a Board Of Medicine licensed to practice in Idaho. The address on file for LESLIE IRENE BURNSIDE is 147 W CHUBBUCK RD Chubbuck ID 83202. This licensed professional license is current. The license was granted 10/19/2004 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

LESLIE IRENE BURNSIDE
Board Of Medicine
License number
PA-518
Date granted
10/19/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
147 W CHUBBUCK RD Chubbuck ID 83202
idaholicensing.com
ID 48342031
LAST UPDATED 2024-03-27 14:15:48 UTC

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