Idaho
Division of Occupational and Professional Licenses
JACOB SHUMWAY BAILEY
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 100283
Date granted
06/18/2013
Date expires
07/20/2017
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Current
Address
ABILENE TX 79602
idaholicensing.com
ID 19685280
LAST UPDATED 2024-02-28 23:18:09 UTC
LAST UPDATED 2024-02-28 23:18:09 UTC
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