The holder whose full name is Haack, Edward Ian,come from PLYMOUTH IN,hold the Optometric Legend Drug Certificate license(NO.18002693B) which status is Expired.
| Name | Haack, Edward Ian |
|---|---|
| License Number | 18002693B |
| License Type | Optometric Legend Drug Certificate |
| License Status | Expired |
| City | PLYMOUTH |
| State | IN |