Indiana
Professional Licensing Agency
Jorge A. Benavente
Optometric Legend Drug Certificate
License number
18001807B
Date granted
07/06/1992
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Munster IN 46321-2805
indianalicensing.org
ID 8285542
LAST UPDATED 2024-03-13 09:47:27 UTC
LAST UPDATED 2024-03-13 09:47:27 UTC
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