ADAM BRYCE BLACKER
Idaho Board Of Optometry - Optometrist W/Tpa
Idaho ODP - 100258 Not Current
This Idaho license was held by ADAM BRYCE BLACKER. The license is no longer active. It was granted on 07/31/2012 and expired on 10/25/2014
LICENSE DETAILS
- License Number: ODP - 100258
- Category: OPTOMETRIST W/TPA
- Status: Not Current
- Date Granted: 07/31/2012 (almost 13 years ago)
- Expiry Date: 10/25/2014 (over 10 years ago)
LOCATIONS
A Address
GLENDALE AZ 85308