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 2024-03-25 19:26:47 UTC
LAST UPDATED 2024-03-25 19:26:47 UTC
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