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 The license is no longer active.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