Indiana
Professional Licensing Agency
Rebecca Mae Banet Walton
Optometric Legend Drug Certificate
License number
18002068B
Date granted
07/01/1992
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
New Salisbury IN 47161
indianalicensing.org
ID 8285602
LAST UPDATED 2024-05-14 22:41:48 UTC
LAST UPDATED 2024-05-14 22:41:48 UTC
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