Indiana
Professional Licensing Agency
Lance E. Malott
Optometric Legend Drug Certificate
License number
18002752B
Date granted
02/15/1996
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
New Castle IN 47362
indianalicensing.org
ID 8285590
LAST UPDATED 2024-04-26 07:15:32 UTC
LAST UPDATED 2024-04-26 07:15:32 UTC
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