Public Record
 
Business Name:  
Owner:  
Profession:  
Type:  
Number:  
Address Of Record:    
City/State/Zip:  
Country:  
Business Phone:  
Original Date of Issue:  
Registered/Licensed By:  
Status:  
Discipline Status:    
Expiration Date:  
 
Status History
Date Action
1/15/2019 Renewed
2/14/2018 Reinstated
2/1/2018 Expired
3/22/2017 Reinstated
2/1/2017 Expired
3/2/2016 Reinstated
2/1/2016 Expired
1/12/2015 Renewed
2/3/2014 Renewed
1/10/2013 Renewed
1/31/2012 New License
 
Disciplinary Action Documents
 
None
 
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NOTE: This document is a copy of the electronic record of the person named above and constitutes a verification of that record. If additional certification  of this record is required, a written request must be submitted together with a $10.00 fee to the Bureau of Occupational Licenses, 700 West State Street, PO Box 83720, Boise, Idaho 83720-0063.

NOTE: If a disciplinary document is not available on the Documents tab, please fill out and submit a Public Records Request  form.

The information contained on this website is being made available as a public service by the Bureau of Occupational Licenses. The information on this site is made public pursuant to the Idaho Public Records Law. The data is derived directly from individual license applications entered into the database and is updated on a daily basis. Licensing credentials are primary-source verified and thus can be considered primary source license verification. None of the content contained on this website is intended to constitute legal or professional advice. Please note that some disciplinary actions against licensees may not appear immediately on the website. Appeals, effective dates of orders and other administrative processes may delay posting on the website.