Indiana
Professional Licensing Agency
Dawn D. Frederickson
Optometric Legend Drug Certificate
License number
18002667B
Date granted
10/01/1993
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Fort Wayne IN 46845
indianalicensing.org
ID 8284617
LAST UPDATED 2024-04-17 02:44:25 UTC
LAST UPDATED 2024-04-17 02:44:25 UTC
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