Indiana
Professional Licensing Agency
Duane Alvin Gillam
Optometric Legend Drug Certificate
License number
18001683B
Date granted
07/01/1992
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Lafayette IN 47902
indianalicensing.org
ID 8285227
LAST UPDATED 2024-02-26 13:13:37 UTC
LAST UPDATED 2024-02-26 13:13:37 UTC
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