License holder summary

MR. DUSTIN LEE BURBANK is a Board Of Medicine licensed to practice in Idaho. The address on file for MR. DUSTIN LEE BURBANK is 529 D RAVEN WAY CHUBBUCK ID 83202. This licensed professional license is not current. The license was granted 10/01/2008 and expired on 07/31/2010.

Idaho

Division of Occupational and Professional Licenses

MR. DUSTIN LEE BURBANK
Board Of Medicine
License number
PAT-638
Date granted
10/01/2008
Date expires
07/31/2010
Class
Board Of Medicine
Status
Expired
Address
529 D RAVEN WAY CHUBBUCK ID 83202
idaholicensing.com
ID 48341934
LAST UPDATED 2024-04-13 01:08:15 UTC

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