Indiana
Professional Licensing Agency
Christina Marie Mummert
Optometric Legend Drug Certificate
License number
18003334B
Date granted
02/16/2005
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Fort Wayne IN 46814
indianalicensing.org
ID 8284600
LAST UPDATED 2024-04-27 15:42:12 UTC
LAST UPDATED 2024-04-27 15:42:12 UTC
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