License holder summary

NICOLE SHIREE BURBANK is a Board Of Medicine licensed to practice in Idaho. The address on file for NICOLE SHIREE BURBANK is Kootenai Imaging COEUR D ALENE ID 83814. This licensed professional license is current. The license was granted 08/01/2006 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

NICOLE SHIREE BURBANK
Board Of Medicine
License number
M-9657
Date granted
08/01/2006
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
Kootenai Imaging COEUR D ALENE ID 83814
idaholicensing.com
ID 48341935
LAST UPDATED 2024-02-06 20:40:23 UTC

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