Indiana
Professional Licensing Agency
Lisa Lynn Stafford
Optometric Legend Drug Certificate
License number
18002840B
Date granted
08/30/1996
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Frankfort IN 46041
indianalicensing.org
ID 8284715
LAST UPDATED 2026-05-03 19:59:04 UTC
LAST UPDATED 2026-05-03 19:59:04 UTC
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