Indiana
Professional Licensing Agency
Lithia E. Jimenez
Optometric Legend Drug Certificate
License number
18002601B
Date granted
09/15/1992
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
BLOOMINGTON IN 47401
indianalicensing.org
ID 8284063
LAST UPDATED 2024-02-19 07:44:39 UTC
LAST UPDATED 2024-02-19 07:44:39 UTC
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