Idaho
Division of Occupational and Professional Licenses
CARMINE PETRACCA
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 634
Date granted
07/25/1980
Date expires
07/09/2017
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Current
Address
LEWISTON ID 83501
idaholicensing.com
ID 19685693
LAST UPDATED 2024-03-08 08:37:28 UTC
LAST UPDATED 2024-03-08 08:37:28 UTC
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