The holder whose full name is Fath, Dale Frederick,come from Fort Wayne IN,hold the Optometric Legend Drug Certificate license(NO.18001634B) which status is Active.
| Name | Fath, Dale Frederick |
|---|---|
| License Number | 18001634B |
| License Type | Optometric Legend Drug Certificate |
| License Status | Active |
| City | Fort Wayne |
| State | IN |