Indiana
Professional Licensing Agency
Connie Marie Haines
Optometric Legend Drug Certificate
License number
18003078B
Date granted
07/12/2000
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Indianapolis IN 46240
indianalicensing.org
ID 8284956
LAST UPDATED 2024-03-13 14:29:14 UTC
LAST UPDATED 2024-03-13 14:29:14 UTC
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