Indiana
Professional Licensing Agency
David Walter Prucy
Optometric Legend Drug Certificate
License number
18000199B
Date granted
07/01/1992
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Whiting IN 46394
indianalicensing.org
ID 8286073
LAST UPDATED 2024-02-21 07:57:05 UTC
LAST UPDATED 2024-02-21 07:57:05 UTC
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