The holder whose full name is Detraz, Ray Hart,come from Columbus IN,hold the Optometric Legend Drug Certificate license(NO.18001321B) which status is Expired.
| Name | Detraz, Ray Hart |
|---|---|
| License Number | 18001321B |
| License Type | Optometric Legend Drug Certificate |
| License Status | Expired |
| City | Columbus |
| State | IN |