Indiana
Professional Licensing Agency
Anna Heatha Farouq
Optometric Legend Drug Certificate
License number
18003371B
Date granted
08/11/2005
Date expires
04/01/2006
Class
Optometric Legend Drug Certificate
Status
Expired
Address
Clarksville IN 47129
indianalicensing.org
ID 8284272
LAST UPDATED 2026-05-07 17:59:43 UTC
LAST UPDATED 2026-05-07 17:59:43 UTC
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