Public Record
Business Name:  
Address Of Record:    
Business Phone:  
Original Date of Issue:  
Registered/Licensed By:  
Discipline Status:    
Expiration Date:  
Status History
Date Action
12/2/2019 Renewed
11/6/2018 Renewed
11/20/2017 Renewed
11/10/2016 Renewed
12/16/2015 Renewed
12/15/2015 Expired
1/22/2015 Reinstated
12/15/2014 Expired
12/17/2013 Renewed
12/15/2013 Expired
11/13/2012 Renewed
11/16/2011 Renewed
4/4/2011 Reinstated
12/15/2010 Expired
1/15/2010 Reinstated
12/15/2009 Expired
12/15/2008 Renewed
11/13/2007 Renewed
11/15/2006 Renewed
12/14/2005 New License
Disciplinary Action Documents
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NOTE: The information contained on this website is being made available as a public service by the Division of Occupational and Professional 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. If additional certification  of this record is required, a written request must be submitted together with a $10.00 fee to the Division of Occupational and Professional 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.