License holder summary

Jack Frederick Moore is a Optometric Legend Drug Certificate licensed to practice in Indiana. The address on file for Jack Frederick Moore is FORT WAYNE IN 46835. This licensed professional license is not current. The license was granted 07/01/1992 and expired on 04/01/2002.

Indiana

Professional Licensing Agency

Jack Frederick Moore
Optometric Legend Drug Certificate
License number
18001310B
Date granted
07/01/1992
Date expires
04/01/2002
Class
Optometric Legend Drug Certificate
Status
Expired
Address
FORT WAYNE IN 46835
indianalicensing.org
ID 8284630
LAST UPDATED 2024-03-22 23:01:20 UTC

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