License holder summary

Jon Robert Bausback is a Optometric Legend Drug Certificate licensed to practice in Indiana. The address on file for Jon Robert Bausback is Michigan City IN 46360. This licensed professional license is current. The license was granted 07/01/1992 and expired on 04/01/2016.

Indiana

Professional Licensing Agency

Jon Robert Bausback
Optometric Legend Drug Certificate
License number
18001410B
Date granted
07/01/1992
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Michigan City IN 46360
indianalicensing.org
ID 8285409
LAST UPDATED 2024-02-20 02:30:29 UTC

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