Indiana
Professional Licensing Agency
JOSEPH R BASILE
Optometrist
License number
18001603A
Date granted
09/29/1972
Date expires
04/01/1990
Class
Optometrist
Status
Expired
Address
FORT WAYNE IN 46802
indianalicensing.org
ID 8286979
LAST UPDATED 2024-02-08 18:52:21 UTC
LAST UPDATED 2024-02-08 18:52:21 UTC
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