License holder summary

Anna Heatha Farouq is a Optometric Legend Drug Certificate licensed to practice in Indiana. The address on file for Anna Heatha Farouq is Clarksville IN 47129. This licensed professional license is not current. The license was granted 08/11/2005 and expired on 04/01/2006.

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 2024-04-25 06:08:31 UTC

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