MIRIAM M WELLER - Optometrist License in Illinois | # 046008047

MIRIAM M WELLER

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008047

License Status

NOT RENEWED

Business

N

First Name

MIRIAM

Middle

M

Last Name

WELLER

Business Name

MIRIAM M WELLER

Original Issue Date

09/19/1987

Effective Date

01/30/2020

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022