Indiana
Professional Licensing Agency
John D. Shackle
Optometric Legend Drug Certificate
License number
18001588B
Date granted
07/01/1992
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
INDIANAPOLIS IN 46219
indianalicensing.org
ID 8285029
LAST UPDATED 2024-05-23 06:11:27 UTC
LAST UPDATED 2024-05-23 06:11:27 UTC
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