License holder summary

PHILLIP W PETTERBORG is a Idaho Board Of Optometry - Optometrist W/Tpa licensed to practice in Idaho. The address on file for PHILLIP W PETTERBORG is PERRYSBURG OH 43551. This licensed professional license is current. The license was granted 07/13/1985 and expired on 06/21/2017.

Idaho

Division of Occupational and Professional Licenses

PHILLIP W PETTERBORG
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 730
Date granted
07/13/1985
Date expires
06/21/2017
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Current
Address
PERRYSBURG OH 43551
idaholicensing.com
ID 19685695
LAST UPDATED 2024-02-18 12:43:34 UTC

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