Indiana
Professional Licensing Agency
Edward Ian Haack
Optometric Legend Drug Certificate
License number
18002693B
Date granted
08/04/1994
Date expires
04/01/1996
Class
Optometric Legend Drug Certificate
Status
Expired
Address
PLYMOUTH IN 46563
indianalicensing.org
ID 8285696
LAST UPDATED 2024-03-11 01:32:43 UTC
LAST UPDATED 2024-03-11 01:32:43 UTC
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