Indiana
Professional Licensing Agency
Jennifer Suzanne Wade
Optometric Legend Drug Certificate
License number
18002937B
Date granted
07/02/1998
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Granger IN 46530
indianalicensing.org
ID 8284769
LAST UPDATED 2026-04-16 21:58:23 UTC
LAST UPDATED 2026-04-16 21:58:23 UTC
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