Indiana
Professional Licensing Agency
Adam John Russ
Optometric Legend Drug Certificate
License number
18003640B
Date granted
06/30/2010
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Leo IN 46765
indianalicensing.org
ID 8285272
LAST UPDATED 2024-04-02 16:30:57 UTC
LAST UPDATED 2024-04-02 16:30:57 UTC
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