The holder whose full name is Gillam, Duane Alvin,come from Lafayette IN,hold the Optometric Legend Drug Certificate license(NO.18001683B) which status is Active.
| Name | Gillam, Duane Alvin |
|---|---|
| License Number | 18001683B |
| License Type | Optometric Legend Drug Certificate |
| License Status | Active |
| City | Lafayette |
| State | IN |