Indiana
Professional Licensing Agency
William F. Brigham
Optometric Legend Drug Certificate
License number
18001470B
Date granted
07/01/1992
Date expires
04/01/2016
Class
Optometric Legend Drug Certificate
Status
Active
Address
Fort Wayne IN 46802
indianalicensing.org
ID 8284704
LAST UPDATED 2024-03-06 11:30:31 UTC
LAST UPDATED 2024-03-06 11:30:31 UTC
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