MIKI KITAHATA - Optometrist License in Illinois | # 047028170

MIKI KITAHATA

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028170

License Status

NOT RENEWED

Business

N

First Name

MIKI

Last Name

KITAHATA

Business Name

MIKI KITAHATA

Original Issue Date

07/01/1992

Expiration Date

03/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005