Indiana
Professional Licensing Agency
Philip Henry Nowak
Optometric Legend Drug Certificate
License number
18002922B
Date granted
10/24/1997
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Martinsville IN 46151
indianalicensing.org
ID 8285357
LAST UPDATED 2024-03-23 10:19:47 UTC
LAST UPDATED 2024-03-23 10:19:47 UTC
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