License holder summary

TIMOTHY JOHN BURBACH is a Board Of Medicine licensed to practice in Idaho. The address on file for TIMOTHY JOHN BURBACH is 1037 W PINE AVE APT 3 MERIDIAN ID 83642. This licensed professional license is not current. The license was granted 09/13/2011 and expired on 08/09/2013.

Idaho

Division of Occupational and Professional Licenses

TIMOTHY JOHN BURBACH
Board Of Medicine
License number
PAT-895
Date granted
09/13/2011
Date expires
08/09/2013
Class
Board Of Medicine
Status
Expired
Address
1037 W PINE AVE APT 3 MERIDIAN ID 83642
idaholicensing.com
ID 48329284
LAST UPDATED 2024-02-03 12:18:44 UTC

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