Indiana
Professional Licensing Agency
Kimberly Darling Forniss
Optometric Legend Drug Certificate
License number
18003112B
Date granted
07/24/2001
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Indianapolis IN 46254
indianalicensing.org
ID 8285038
LAST UPDATED 2024-03-14 11:22:07 UTC
LAST UPDATED 2024-03-14 11:22:07 UTC
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