MIRIAM R COUVE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929664

License Status

NOT RENEWED

Business

First Name

MIRIAM R

Last Name

COUVE

Suffix

Business Name

MIRIAM R COUVE OD

Original Issue Date

09/17/2003

Effective Date

10/04/2004

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006