ERIC JAMES BROCKMAN

Idaho  RTS-729   Upgraded

This Idaho license was held by ERIC JAMES BROCKMAN. The license is no longer active. It was granted on 05/04/2015

LICENSE DETAILS

  • License Number: RTS-729
  • Category: Board Of Medicine
  • Status: Upgraded
  • Date Granted: 05/04/2015 (about 10 years ago)

LOCATIONS

A Residential

1190 N KANIKSU ST POST FALLS ID 83854