Idaho
Division of Occupational and Professional Licenses
LISA MARIE BURGETT
Board Of Medicine
License number
M-6763
Date granted
06/20/1995
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2550 Addison Avenue East Suite E Twin Falls ID 83301
idaholicensing.com
ID 48341959
LAST UPDATED 2024-04-12 17:49:25 UTC
LAST UPDATED 2024-04-12 17:49:25 UTC
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