Indiana
Professional Licensing Agency
Brian John VanDerPloeg
Optometric Legend Drug Certificate
License number
18003419B
Date granted
06/20/2006
Date expires
04/01/2008
Class
Optometric Legend Drug Certificate
Status
Expired
Address
Clarksville IN 47129
indianalicensing.org
ID 8284268
LAST UPDATED 2024-04-13 14:58:09 UTC
LAST UPDATED 2024-04-13 14:58:09 UTC
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