Indiana
Professional Licensing Agency
John E. Titak
Optometric Legend Drug Certificate
License number
18002714B
Date granted
08/04/1994
Date expires
04/01/1996
Class
Optometric Legend Drug Certificate
Status
Expired
Address
MERRILLVILLE IN 46410
indianalicensing.org
ID 8285385
LAST UPDATED 2024-03-23 05:12:14 UTC
LAST UPDATED 2024-03-23 05:12:14 UTC
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