Idaho
Division of Occupational and Professional Licenses
LANCE W FAGAN
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 1029
Date granted
07/01/2000
Date expires
12/16/2016
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Current
Address
COEUR D ALENE ID 83814
idaholicensing.com
ID 19685400
LAST UPDATED 2024-02-08 15:40:49 UTC
LAST UPDATED 2024-02-08 15:40:49 UTC
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