MIRIAM R COUVE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928238

License Status

NOT RENEWED

Business

First Name

MIRIAM R

Last Name

COUVE

Suffix

Business Name

MIRIAM R COUVE OD

Original Issue Date

10/24/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

09/11/2005