Indiana
Professional Licensing Agency
Timothy H. Blankenbeker
Optometric Legend Drug Certificate
License number
18003467B
Date granted
06/26/2007
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Granger IN 46530-4427
indianalicensing.org
ID 8284770
LAST UPDATED 2024-03-25 00:56:46 UTC
LAST UPDATED 2024-03-25 00:56:46 UTC
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