Indiana
Professional Licensing Agency
Dana E. Gillin
Optometric Legend Drug Certificate
License number
18002716B
Date granted
08/11/1994
Date expires
04/01/1996
Class
Optometric Legend Drug Certificate
Status
Expired
Address
FORT WAYNE IN 46819
indianalicensing.org
ID 8284607
LAST UPDATED 2024-03-02 15:36:04 UTC
LAST UPDATED 2024-03-02 15:36:04 UTC
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