Indiana
Professional Licensing Agency
David Allen Fullenkamp
Optometric Legend Drug Certificate
License number
18002167B
Date granted
07/01/1992
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
PORTLAND IN 47371
indianalicensing.org
ID 8285712
LAST UPDATED 2024-03-05 15:38:20 UTC
LAST UPDATED 2024-03-05 15:38:20 UTC
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