Idaho
Division of Occupational and Professional Licenses
WAYNE D ELLENBECKER
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 800
Date granted
06/20/1988
Date expires
07/30/2017
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Current
Address
COEUR D ALENE ID 83814
idaholicensing.com
ID 19685389
LAST UPDATED 2024-01-20 07:24:32 UTC
LAST UPDATED 2024-01-20 07:24:32 UTC
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