Idaho
Division of Occupational and Professional Licenses
MARK DOUGLAS BURNINGHAM
Board Of Medicine
License number
M-6565
Date granted
09/10/1994
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
EMERGENCY MEDICINE OF IDAHO Meridian ID 83642
idaholicensing.com
ID 48336014
LAST UPDATED 2024-02-12 23:40:33 UTC
LAST UPDATED 2024-02-12 23:40:33 UTC
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