Idaho
Division of Occupational and Professional Licenses
LEE BROCK WREN
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 100148
Date granted
07/23/2007
Date expires
04/16/2017
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Current
Address
BLACKFOOT ID 83221
idaholicensing.com
ID 19685846
LAST UPDATED 2024-04-22 18:49:09 UTC
LAST UPDATED 2024-04-22 18:49:09 UTC
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