Indiana
Professional Licensing Agency
Anjali Palvia Shah
Optometric Legend Drug Certificate
License number
18003482B
Date granted
09/04/2007
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Fort Wayne IN 46805
indianalicensing.org
ID 8284582
LAST UPDATED 2026-05-26 03:38:29 UTC
LAST UPDATED 2026-05-26 03:38:29 UTC
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