The holder whose full name is Carlson, Jennie Marie,come from WEST LAFAYETTE IN,hold the Optometric Legend Drug Certificate license(NO.18002558B) which status is Expired.
| Name | Carlson, Jennie Marie |
|---|---|
| License Number | 18002558B |
| License Type | Optometric Legend Drug Certificate |
| License Status | Expired |
| City | WEST LAFAYETTE |
| State | IN |