Indiana
Professional Licensing Agency
Brent Dean Burch
Optometric Legend Drug Certificate
License number
18002685B
Date granted
08/04/1994
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Kendallville IN 46755
indianalicensing.org
ID 8284342
LAST UPDATED 2024-03-25 09:34:19 UTC
LAST UPDATED 2024-03-25 09:34:19 UTC
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