Idaho
Division of Occupational and Professional Licenses
LISA M HORNICK O.D.
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 100018
Date granted
07/15/2002
Date expires
11/14/2009
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Not Current
Address
KODIAK AK 99615
idaholicensing.com
ID 19685488
LAST UPDATED 2024-04-13 23:13:07 UTC
LAST UPDATED 2024-04-13 23:13:07 UTC
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