Indiana
Professional Licensing Agency
Walter Jarrod Long
Optometric Legend Drug Certificate
License number
18002828B
Date granted
08/20/1996
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Bloomington IN 47403
indianalicensing.org
ID 8284121
LAST UPDATED 2024-04-20 18:48:09 UTC
LAST UPDATED 2024-04-20 18:48:09 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.