STEPHEN R BROCKBANK O.D.
Idaho Board Of Optometry - Optometrist W/Tpa
Idaho ODP - 100049 Not Current
This Idaho license was held by STEPHEN R BROCKBANK O.D.. The license is no longer active. It was granted on 06/28/2004 and expired on 06/28/2013
LICENSE DETAILS
- License Number: ODP - 100049
- Category: OPTOMETRIST W/TPA
- Status: Not Current
- Date Granted: 06/28/2004 (almost 21 years ago)
- Expiry Date: 06/28/2013 (almost 12 years ago)
LOCATIONS
A Address
LEHI UT 84043