Indiana
Professional Licensing Agency
Katherine Anne Blaskovich
Optometric Legend Drug Certificate
License number
18002741B
Date granted
08/24/1995
Date expires
04/01/2012
Class
Optometric Legend Drug Certificate
Status
Expired
Address
Hammond IN 46320-2802
indianalicensing.org
ID 8284882
LAST UPDATED 2024-02-10 07:55:42 UTC
LAST UPDATED 2024-02-10 07:55:42 UTC
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