Indiana
Professional Licensing Agency
Stanley N. Blackman, O.D., P.C.
Optometry Board - Optometry Corporation
License number
56000073A
Date granted
01/26/1981
Date expires
01/31/2014
Class
Optometry Board - Optometry Corporation
Status
Expired
Address
P O BOX 1776, VALPARAISO IN 46384
indianalicensing.org
ID 24875403
LAST UPDATED 2024-04-23 15:20:26 UTC
LAST UPDATED 2024-04-23 15:20:26 UTC
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