Indiana
Professional Licensing Agency
David A Fullenkamp, O.D., P.C.
Optometry Board - Optometry Corporation
License number
56000151A
Date granted
06/19/1990
Date expires
01/31/2016
Class
Optometry Board - Optometry Corporation
Status
Active
Address
Portland Eye Center, P.O. Box 1268, Portland IN 47371-3268
indianalicensing.org
ID 24874962
LAST UPDATED 2024-02-26 09:05:09 UTC
LAST UPDATED 2024-02-26 09:05:09 UTC
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