BRIAN PETRACCA
Idaho Board Of Optometry - Optometrist W/Tpa
Idaho ODP - 100168 Not Current
This Idaho license was held by BRIAN PETRACCA. The license is no longer active. It was granted on 07/02/2008 and expired on 01/28/2016
LICENSE DETAILS
- License Number: ODP - 100168
- Category: OPTOMETRIST W/TPA
- Status: Not Current
- Date Granted: 07/02/2008 (almost 16 years ago)
- Expiry Date: 01/28/2016 (over 8 years ago)
LOCATIONS
A Address
LAS CRUCES NM 88011