WALTER H MILES Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047045107

License Status

NOT RENEWED

Business

First Name

WALTER H

Last Name

MILES

Business Name

WALTER H MILES

Original Issue Date

04/06/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60635

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005