Indiana
Professional Licensing Agency
Amanda Dawn Long
Optometric Legend Drug Certificate
License number
18003462B
Date granted
06/26/2007
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Bloomington IN 47405
indianalicensing.org
ID 8284005
LAST UPDATED 2024-03-10 07:20:08 UTC
LAST UPDATED 2024-03-10 07:20:08 UTC
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