Indiana
Professional Licensing Agency
Samuel Ray Simmons
Optometric Legend Drug Certificate
License number
18001933B
Date granted
04/15/1994
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Fort Wayne IN 46805
indianalicensing.org
ID 8284693
LAST UPDATED 2024-05-01 18:46:12 UTC
LAST UPDATED 2024-05-01 18:46:12 UTC
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