Indiana
Professional Licensing Agency
Diane Elaine Short
Optometric Legend Drug Certificate
License number
18002480B
Date granted
07/01/1992
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Bloomington IN 47401
indianalicensing.org
ID 8284032
LAST UPDATED 2024-03-20 11:15:02 UTC
LAST UPDATED 2024-03-20 11:15:02 UTC
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