Indiana
Professional Licensing Agency
Phillip G. Koultourides
Optometric Legend Drug Certificate
License number
18003080B
Date granted
08/21/2000
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Plymouth IN 46563
indianalicensing.org
ID 8285700
LAST UPDATED 2026-06-09 03:16:32 UTC
LAST UPDATED 2026-06-09 03:16:32 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.