EDWARD L BOSTROM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046004932

License Status

NOT RENEWED

Business

First Name

EDWARD L

Last Name

BOSTROM

Business Name

EDWARD L BOSTROM

Expiration Date

01/01/1997

City

GOODING

State

Zip

83330

County

IDAHO

Ever Disciplined

LastModifiedDate

08/31/2005