License holder summary

SHANE L WYNN O.D. is a Idaho Board Of Optometry - Optometrist W/Tpa licensed to practice in Idaho. The address on file for SHANE L WYNN O.D. is BLACKFOOT ID 83221. This licensed professional license is current. The license was granted 07/22/2004 and expired on 12/02/2016.

Idaho

Division of Occupational and Professional Licenses

SHANE L WYNN O.D.
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 100064
Date granted
07/22/2004
Date expires
12/02/2016
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Current
Address
BLACKFOOT ID 83221
idaholicensing.com
ID 19685848
LAST UPDATED 2024-02-26 18:41:55 UTC

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