The holder whose full name is Forszt, Anthony A,come from GARY IN IN,hold the Optometrist license(NO.18000720A) which status is Expired.
| Name | Forszt, Anthony A |
|---|---|
| License Number | 18000720A |
| License Type | Optometrist |
| License Status | Expired |
| City | GARY IN |
| State | IN |