Idaho
Division of Occupational and Professional Licenses
NATHAN WAYNE BURNETT
Board Of Medicine
License number
AT-245
Date granted
08/23/2004
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
136 N 1ST W PRESTON ID 83263
idaholicensing.com
ID 48342007
LAST UPDATED 2024-01-27 15:38:10 UTC
LAST UPDATED 2024-01-27 15:38:10 UTC
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