Indiana
Professional Licensing Agency
Peter Scott Kollbaum
Optometric Legend Drug Certificate
License number
18003057B
Date granted
06/22/2000
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Bloomington IN 47405
indianalicensing.org
ID 8284093
LAST UPDATED 2024-03-20 02:56:51 UTC
LAST UPDATED 2024-03-20 02:56:51 UTC
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