MIRIAM M WELLER - Optometrist License in Illinois | # 047927756

MIRIAM M WELLER

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927756

License Status

NOT RENEWED

Business

N

First Name

MIRIAM

Middle

M

Last Name

WELLER

Business Name

MIRIAM M WELLER

Original Issue Date

03/07/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005