Indiana
Professional Licensing Agency
Jane Ann Grogg
Optometric Legend Drug Certificate
License number
18002849B
Date granted
08/28/1996
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
BLOOMINGTON IN 47405
indianalicensing.org
ID 8284043
LAST UPDATED 2026-05-13 17:27:39 UTC
LAST UPDATED 2026-05-13 17:27:39 UTC
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