Idaho
Division of Occupational and Professional Licenses
BRENTON DOUGLAS ORMISTON
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 100123
Date granted
10/03/2006
Date expires
02/10/2013
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Not Current
Address
BLOOMINGTON IN 47401
idaholicensing.com
ID 19685669
LAST UPDATED 2024-02-25 01:00:09 UTC
LAST UPDATED 2024-02-25 01:00:09 UTC
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