Indiana
Professional Licensing Agency
Brad Douglas Martin
Optometric Legend Drug Certificate
License number
18002830B
Date granted
08/20/1996
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Fort Wayne IN 46825
indianalicensing.org
ID 8284586
LAST UPDATED 2024-02-18 01:36:21 UTC
LAST UPDATED 2024-02-18 01:36:21 UTC
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