MARK DOUGLAS BURNINGHAM
Idaho TLM-2314 Upgraded
This Idaho license was held by MARK DOUGLAS BURNINGHAM. The license is no longer active. It was granted on 07/19/1994
LICENSE DETAILS
- License Number: TLM-2314
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 07/19/1994 (almost 31 years ago)
LOCATIONS
A Residential
EMERGENCY MEDICINE OF IDAHO Meridian ID 83642