License holder summary

Tracie Lynn Teig Malsom is a Optometric Legend Drug Certificate licensed to practice in Indiana. The address on file for Tracie Lynn Teig Malsom is Greenwood IN 46142. This licensed professional license is not current. The license was granted 06/21/2005 and expired on 04/01/2014.

Indiana

Professional Licensing Agency

Tracie Lynn Teig Malsom
Optometric Legend Drug Certificate
License number
18003360B
Date granted
06/21/2005
Date expires
04/01/2014
Class
Optometric Legend Drug Certificate
Status
Expired
Address
Greenwood IN 46142
indianalicensing.org
ID 8284857
LAST UPDATED 2024-05-08 15:14:03 UTC

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