Colorado
Division of Professions and Occupations
Brant Michael Southam
Optometry - Optometrist
License number
2777
Date granted
03/18/2010
Date expires
03/31/2013
Class
Optometry - Optometrist
Status
Expired
Address
12162 N Sterling Ave, Oro Valley, AZ, 85755-5755
coloradolicensing.org
ID 28194362
LAST UPDATED 2024-04-12 00:42:03 UTC
LAST UPDATED 2024-04-12 00:42:03 UTC
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