Indiana
Professional Licensing Agency
Susan Marie Goode
Optometric Legend Drug Certificate
License number
18003062B
Date granted
07/10/2000
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Fort Wayne IN 46814
indianalicensing.org
ID 8284699
LAST UPDATED 2024-02-29 04:17:20 UTC
LAST UPDATED 2024-02-29 04:17:20 UTC
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