KRYSTLE JO MILLER OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010696

License Status

INACTIVE

Business

Title

First Name

KRYSTLE

Middle

Last Name

MILLER

Business Name

KRYSTLE JO MILLER OD

Original Issue Date

07/01/2013

Effective Date

05/28/2022

Expiration Date

03/31/2024

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

04/21/2025

Case Number

2021009389

Action

Suspension

Discipline Start Date

01/10/2022

Discipline End Date

01/18/2022

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 01/19/2022.