The holder whose full name is Lantz, Mark Wayne,come from Frankfort KY,hold the Optometric Legend Drug Certificate license(NO.18003542B) which status is Expired.
| Name | Lantz, Mark Wayne |
|---|---|
| License Number | 18003542B |
| License Type | Optometric Legend Drug Certificate |
| License Status | Expired |
| City | Frankfort |
| State | KY |