License holder summary

DOUGLAS LEE BROCKMEYER is a Board Of Medicine licensed to practice in Idaho. The address on file for DOUGLAS LEE BROCKMEYER is 100 N Medical Dr Salt Lake City UT 84113. This licensed professional license is not current. The license was granted 08/04/1994 and expired on 08/01/2009.

Idaho

Division of Occupational and Professional Licenses

DOUGLAS LEE BROCKMEYER
Board Of Medicine
License number
M-6528
Date granted
08/04/1994
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
100 N Medical Dr Salt Lake City UT 84113
idaholicensing.com
ID 48341637
LAST UPDATED 2024-03-11 13:25:21 UTC

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