SYLVIA MIEKO TAKAMIYA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009045

License Status

NOT RENEWED

Business

First Name

SYLVIA

Middle

MIEKO

Last Name

TAKAMIYA

Suffix

Business Name

SYLVIA MIEKO TAKAMIYA OD

Original Issue Date

11/06/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005