Indiana
Professional Licensing Agency
Marcia J. Kostka-Suvelza
Optometric Legend Drug Certificate
License number
18002824B
Date granted
08/20/1996
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
SOUTH BEND IN 46616
indianalicensing.org
ID 8285867
LAST UPDATED 2026-03-17 22:28:10 UTC
LAST UPDATED 2026-03-17 22:28:10 UTC
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