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
3/26/2019 Renewed
3/12/2018 Renewed
3/6/2017 Renewed
3/9/2016 Renewed
3/4/2015 Renewed
3/7/2014 Renewed
3/4/2013 Renewed
3/15/2012 Renewed
3/17/2011 Renewed
3/17/2010 Renewed
3/31/2009 Renewed
3/18/2008 Renewed
3/28/2007 Renewed
3/17/2006 Renewed
3/15/2005 Renewed
1/16/2004 Renewed
1/1/2004 Expired
12/20/2002 Renewed
1/4/2002 Renewed
12/15/2000 Renewed
 
Disciplinary Action Documents
 
None
 
** Press Close When Done **
 

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.