The holder whose full name is VanDerPloeg, Brian John,come from Clarksville IN,hold the Optometric Legend Drug Certificate license(NO.18003419B) which status is Expired.
| Name | VanDerPloeg, Brian John |
|---|---|
| License Number | 18003419B |
| License Type | Optometric Legend Drug Certificate |
| License Status | Expired |
| City | Clarksville |
| State | IN |