Idaho
Division of Occupational and Professional Licenses
JAY L BORGHOLTHAUS
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 865
Date granted
12/22/1992
Date expires
05/22/2017
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Current
Address
POCATELLO ID 83201
idaholicensing.com
ID 19685308
LAST UPDATED 2024-02-28 17:53:39 UTC
LAST UPDATED 2024-02-28 17:53:39 UTC
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