License holder summary

JERRY DALE CARLSON is a Idaho Board Of Optometry - Optometrist W/Tpa licensed to practice in Idaho. The address on file for JERRY DALE CARLSON is IDAHO FALLS ID 83406. This licensed professional license is current. The license was granted 04/14/2006 and expired on 11/06/2016.

Idaho

Division of Occupational and Professional Licenses

JERRY DALE CARLSON
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 100104
Date granted
04/14/2006
Date expires
11/06/2016
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Current
Address
IDAHO FALLS ID 83406
idaholicensing.com
ID 19685328
LAST UPDATED 2026-04-19 05:33:24 UTC

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