License holder summary

KACEY DUSTIN BLAYLOCK is a Idaho Board Of Optometry - Optometrist W/Tpa licensed to practice in Idaho. The address on file for KACEY DUSTIN BLAYLOCK is MERIDIAN ID 83646. This licensed professional license is current. The license was granted 06/01/2016 and expired on 04/07/2018.

Idaho

Division of Occupational and Professional Licenses

KACEY DUSTIN BLAYLOCK
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 100370
Date granted
06/01/2016
Date expires
04/07/2018
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Current
Address
MERIDIAN ID 83646
idaholicensing.com
ID 43729956
LAST UPDATED 2024-03-06 13:01:18 UTC

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