MICHELLE DIANE BREHM OD - Optometrist License in Illinois | # 046010307

MICHELLE DIANE BREHM OD

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010307

License Status

INACTIVE

Business

N

Title

OD

First Name

MICHELLE

Middle

DIANE

Last Name

BREHM

Business Name

MICHELLE DIANE BREHM OD

Original Issue Date

11/19/2009

Effective Date

03/14/2012

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

01/09/2014