The holder whose full name is Dougherty, Kurt Willaim,come from Fort Wayne IN,hold the Optometric Legend Drug Certificate license(NO.18002121B) which status is Active.
| Name | Dougherty, Kurt Willaim |
|---|---|
| License Number | 18002121B |
| License Type | Optometric Legend Drug Certificate |
| License Status | Active |
| City | Fort Wayne |
| State | IN |