MARLA JANAE MILLER-HAYDEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926415

License Status

NOT RENEWED

Business

First Name

MARLA

Middle

JANAE

Last Name

MILLER-HAYDEN

Suffix

Business Name

MARLA JANAE MILLER-HAYDEN OD

Original Issue Date

10/12/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005