MIRIAM M WELLER - Optometrist License in Illinois | # 047926437

MIRIAM M WELLER

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926437

License Status

NOT RENEWED

Business

N

First Name

MIRIAM

Middle

M

Last Name

WELLER

Business Name

MIRIAM M WELLER

Original Issue Date

10/13/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005