MARIAM ETHEZAZ OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011188

License Status

ACTIVE

Business

Title

First Name

MARIAM

Last Name

ETHEZAZ

Business Name

MARIAM ETHEZAZ OD

Original Issue Date

06/14/2018

Effective Date

03/13/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

03/13/2026