License holder summary

ADAM BRYCE BLACKER is a Idaho Board Of Optometry - Optometrist W/Tpa licensed to practice in Idaho. The address on file for ADAM BRYCE BLACKER is GLENDALE AZ 85308. This licensed professional license is not current. The license was granted 07/31/2012 and expired on 10/25/2014.

Idaho

Division of Occupational and Professional Licenses

ADAM BRYCE BLACKER
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 100258
Date granted
07/31/2012
Date expires
10/25/2014
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Not Current
Address
GLENDALE AZ 85308
idaholicensing.com
ID 19685303
LAST UPDATED 2024-04-29 21:01:01 UTC

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