JENS PETER BURNETT
Idaho LRT-1759 Canceled
This Idaho license was held by JENS PETER BURNETT. The license is no longer active. It was granted on 03/31/2014 and expired on 08/01/2016
LICENSE DETAILS
- License Number: LRT-1759
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/31/2014 (about 11 years ago)
- Expiry Date: 08/01/2016 (almost 9 years ago)
LOCATIONS
A Residential
601 E JEFFERSON RD CHEYENNE WY 82007