TIMOTHY I MILLER OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006550

License Status

INACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

MILLER

Suffix

Business Name

TIMOTHY I MILLER OD

Original Issue Date

08/21/1973

Effective Date

03/26/2014

Expiration Date

03/31/2016

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

02/03/2016