Idaho
Division of Occupational and Professional Licenses
REID ISAO MAMIYA O.D.
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 100070
Date granted
02/03/2005
Date expires
01/26/2017
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Current
Address
CHEHALIS WA 98532
idaholicensing.com
ID 19685563
LAST UPDATED 2024-03-31 15:05:21 UTC
LAST UPDATED 2024-03-31 15:05:21 UTC
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