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
8/16/2019 Renewed
8/17/2018 Renewed
8/17/2017 Renewed
8/4/2016 Renewed
8/11/2015 Renewed
8/7/2014 Renewed
8/7/2013 Renewed
8/7/2012 Renewed
8/12/2011 Renewed
8/3/2010 Renewed
7/30/2009 Renewed
8/8/2008 Renewed
8/6/2007 Renewed
8/11/2006 Renewed
8/12/2005 Renewed
8/26/2004 Renewed
12/31/2003 Renewed
12/22/2002 Renewed
1/16/2002 Renewed
1/14/2002 Expired
6/8/2001 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.