The holder whose full name is Gillam, Duane Alvin,come from Lafayette IN,hold the Optometrist license(NO.18001683A) which status is Active.
| Name | Gillam, Duane Alvin |
|---|---|
| License Number | 18001683A |
| License Type | Optometrist |
| License Status | Active |
| City | Lafayette |
| State | IN |