EDWARD L BOSTROM - Optometrist License in Idaho | # 046004932

EDWARD L BOSTROM

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046004932

License Status

NOT RENEWED

Business

N

First Name

EDWARD L

Last Name

BOSTROM

Business Name

EDWARD L BOSTROM

Expiration Date

01/01/1997

State

ID

Ever Disciplined

N

LastModifiedDate

08/31/2005