License holder summary

NATHAN WAYNE BURNETT is a Board Of Medicine licensed to practice in Idaho. The address on file for NATHAN WAYNE BURNETT is 136 N 1ST W PRESTON ID 83263. This licensed professional license is not current. The license was granted 08/23/2004 and expired on 08/01/2016.

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 2026-09-10 01:01:57 UTC

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