Indiana
Professional Licensing Agency
J. Phillip Montgomery
Optometric Legend Drug Certificate
License number
18001562B
Date granted
03/29/1993
Date expires
04/01/2010
Class
Optometric Legend Drug Certificate
Status
Suspended
Address
Kokomo IN 46901
indianalicensing.org
ID 8285202
LAST UPDATED 2024-02-08 19:49:20 UTC
LAST UPDATED 2024-02-08 19:49:20 UTC
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