License holder summary

STEPHEN R BROCKBANK O.D. is a Idaho Board Of Optometry - Optometrist W/Tpa licensed to practice in Idaho. The address on file for STEPHEN R BROCKBANK O.D. is LEHI UT 84043. This licensed professional license is not current. The license was granted 06/28/2004 and expired on 06/28/2013.

Idaho

Division of Occupational and Professional Licenses

STEPHEN R BROCKBANK O.D.
Idaho Board Of Optometry - Optometrist W/Tpa
License number
ODP - 100049
Date granted
06/28/2004
Date expires
06/28/2013
Class
Idaho Board Of Optometry - Optometrist W/Tpa
Status
Not Current
Address
LEHI UT 84043
idaholicensing.com
ID 19685313
LAST UPDATED 2024-02-03 21:40:05 UTC

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