Indiana
Professional Licensing Agency
Colin N. Jack
Optometric Legend Drug Certificate
License number
18002034B
Date granted
07/01/1992
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
VALPARAISO IN 46383
indianalicensing.org
ID 8285960
LAST UPDATED 2024-03-29 17:39:26 UTC
LAST UPDATED 2024-03-29 17:39:26 UTC
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