Public Record
 
Name:  
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
7/16/2019 Renewed
7/11/2018 Renewed
6/27/2017 Renewed
6/22/2016 Renewed
7/1/2015 Renewed
7/9/2014 Renewed
6/26/2013 Renewed
7/9/2012 Renewed
7/6/2011 Renewed
6/29/2010 Renewed
7/7/2009 Renewed
7/8/2008 Renewed
7/19/2007 Renewed
7/21/2006 Renewed
7/21/2005 Renewed
6/23/2004 Renewed
12/22/2003 Renewed
1/3/2003 Renewed
1/1/2003 Expired
1/8/2002 Renewed
12/29/2000 Renewed
 
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 official 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.