THEODORE J MILLER

Business Entity
NOT RENEWED

Optometrist

LICENSED OPTOMETRIST

046004446

NOT RENEWED

N

THEODORE J

MILLER

THEODORE J MILLER

03/31/1998

WAUKEGAN

IL

60085

LAKE

Y

08/31/2005

1996011709

Suspension

02/26/1998

Failing to provide sufficient proof of required continuing education hours during a Department audit.