License holder summary

MS. JILL MARIE LANE is a Idaho Board Of Optometry - Optometrist W/Tpa licensed to practice in Idaho. The address on file for MS. JILL MARIE LANE is GRANGEVILLE ID 83530. This licensed professional license is current. The license was granted 10/31/2005 and expired on 02/17/2017.

Idaho

Division of Occupational and Professional Licenses

MS. JILL MARIE LANE
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 100095
Date granted
10/31/2005
Date expires
02/17/2017
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Current
Address
GRANGEVILLE ID 83530
idaholicensing.com
ID 19685540
LAST UPDATED 2024-02-25 18:51:57 UTC

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