License holder summary

RANDALL W. BURT is a Board Of Medicine licensed to practice in Idaho. The address on file for RANDALL W. BURT is 50 N Medical Dr - GE Salt Lake City UT 84132. This licensed professional license is not current. The license was granted 03/13/1982 and expired on 07/02/1993.

Idaho

Division of Occupational and Professional Licenses

RANDALL W. BURT
Board Of Medicine
License number
M-4461
Date granted
03/13/1982
Date expires
07/02/1993
Class
Board Of Medicine
Status
Canceled
Address
50 N Medical Dr - GE Salt Lake City UT 84132
idaholicensing.com
ID 48342059
LAST UPDATED 2024-02-23 07:41:34 UTC

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