License holder summary

Stacey Ann Pruitt is a Optometric Legend Drug Certificate licensed to practice in Indiana. The address on file for Stacey Ann Pruitt is Indianapolis IN 46219. This licensed professional license is current. The license was granted 07/02/1999 and expired on 04/01/2016.

Indiana

Professional Licensing Agency

Stacey Ann Pruitt
Optometric Legend Drug Certificate
License number
18003010B
Date granted
07/02/1999
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Indianapolis IN 46219
indianalicensing.org
ID 8285122
LAST UPDATED 2024-02-22 06:44:02 UTC

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