Indiana
Professional Licensing Agency
Nicole Sidock
Optometric Legend Drug Certificate
License number
18003194B
Date granted
07/16/2002
Date expires
04/01/2004
Class
Optometric Legend Drug Certificate
Status
Expired
Address
Dyer IN 46311
indianalicensing.org
ID 8284434
LAST UPDATED 2026-05-20 21:29:33 UTC
LAST UPDATED 2026-05-20 21:29:33 UTC
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