Indiana
Professional Licensing Agency
Michael Lawrence Fagin
Optometric Legend Drug Certificate
License number
18002571B
Date granted
07/31/1992
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Carmel IN 46032
indianalicensing.org
ID 8284237
LAST UPDATED 2024-05-10 11:07:28 UTC
LAST UPDATED 2024-05-10 11:07:28 UTC
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