License holder summary

BRIAN PETRACCA is a Idaho Board Of Optometry - Optometrist W/Tpa licensed to practice in Idaho. The address on file for BRIAN PETRACCA is LAS CRUCES NM 88011. This licensed professional license is not current. The license was granted 07/02/2008 and expired on 01/28/2016.

Idaho

Division of Occupational and Professional Licenses

BRIAN PETRACCA
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 100168
Date granted
07/02/2008
Date expires
01/28/2016
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Not Current
Address
LAS CRUCES NM 88011
idaholicensing.com
ID 19685690
LAST UPDATED 2024-03-24 00:36:38 UTC

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