Idaho
Division of Occupational and Professional Licenses
MICHAEL ADAM PARK
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 100364
Date granted
05/31/2016
Date expires
10/01/2017
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Current
Address
COEUR D ALENE ID 83815
idaholicensing.com
ID 43730142
LAST UPDATED 2024-03-27 21:03:54 UTC
LAST UPDATED 2024-03-27 21:03:54 UTC
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