Indiana
Professional Licensing Agency
Steven Benjamin Koning
Optometric Legend Drug Certificate
License number
18003692B
Date granted
03/21/2012
Date expires
04/01/2014
Class
Optometric Legend Drug Certificate
Status
Expired
Address
Fort Wayne IN 46805
indianalicensing.org
ID 8284695
LAST UPDATED 2024-02-23 12:53:57 UTC
LAST UPDATED 2024-02-23 12:53:57 UTC
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