MIRIAM M WELLER - Optometrist License in Illinois | # 047928752

MIRIAM M WELLER

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928752

License Status

NOT RENEWED

Business

N

First Name

MIRIAM

Middle

M

Last Name

WELLER

Business Name

MIRIAM M WELLER

Original Issue Date

06/19/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005