The holder whose full name is Mortensen, David Dolan,come from Crown Point IN,hold the Optometric Legend Drug Certificate license(NO.18003429B) which status is Expired.
| Name | Mortensen, David Dolan |
|---|---|
| License Number | 18003429B |
| License Type | Optometric Legend Drug Certificate |
| License Status | Expired |
| City | Crown Point |
| State | IN |