Indiana
Professional Licensing Agency
Elli J. Kollbaum
Optometric Legend Drug Certificate
License number
18002935B
Date granted
06/22/2000
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Bloomington IN 47405
indianalicensing.org
ID 8284036
LAST UPDATED 2026-06-18 15:01:39 UTC
LAST UPDATED 2026-06-18 15:01:39 UTC
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