Indiana
Professional Licensing Agency
Mark Wayne Lantz
Optometric Legend Drug Certificate
License number
18003542B
Date granted
10/22/2008
Date expires
04/01/2014
Class
Optometric Legend Drug Certificate
Status
Expired
Address
Frankfort KY 40601
indianalicensing.org
ID 8284714
LAST UPDATED 2024-03-24 02:48:15 UTC
LAST UPDATED 2024-03-24 02:48:15 UTC
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