The holder whose full name is Kollbaum, Peter Scott,come from Bloomington IN,hold the Optometric Legend Drug Certificate license(NO.18003057B) which status is Active.
| Name | Kollbaum, Peter Scott |
|---|---|
| License Number | 18003057B |
| License Type | Optometric Legend Drug Certificate |
| License Status | Active |
| City | Bloomington |
| State | IN |