Idaho
Division of Occupational and Professional Licenses
MS. AMELIA ANISA FANAIEYAN
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 100340
Date granted
06/24/2015
Date expires
09/14/2016
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Current
Address
ORINDA CA 94563
idaholicensing.com
ID 43730031
LAST UPDATED 2024-03-16 15:19:35 UTC
LAST UPDATED 2024-03-16 15:19:35 UTC
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