Indiana
Professional Licensing Agency
Daniel Otis Elliott, III
Optometric Legend Drug Certificate
License number
18001717B
Date granted
07/01/1992
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
South Bend IN 46615
indianalicensing.org
ID 8285843
LAST UPDATED 2024-03-06 04:22:35 UTC
LAST UPDATED 2024-03-06 04:22:35 UTC
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