Indiana
Professional Licensing Agency
Stuart Henry Shake
Optometric Legend Drug Certificate
License number
18002521B
Date granted
07/01/1992
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Evansville IN 47715
indianalicensing.org
ID 8284524
LAST UPDATED 2024-03-01 21:03:30 UTC
LAST UPDATED 2024-03-01 21:03:30 UTC
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