Indiana
Professional Licensing Agency
A A FORSZT
Optometrist
License number
18000998A
Date granted
05/17/1944
Date expires
04/01/1992
Class
Optometrist
Status
Expired
Address
LAPORTE IN 46350
indianalicensing.org
ID 8287583
LAST UPDATED 2024-01-29 14:00:04 UTC
LAST UPDATED 2024-01-29 14:00:04 UTC
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