The holder whose full name is Tanner, John Raymond,come from Valparaiso IN,hold the Optometrist license(NO.18003011A) which status is Expired.
| Name | Tanner, John Raymond |
|---|---|
| License Number | 18003011A |
| License Type | Optometrist |
| License Status | Expired |
| City | Valparaiso |
| State | IN |