CHRISTOPHER TATE MILLER OD - Optometrist License in Illinois | # 047930041

CHRISTOPHER TATE MILLER OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930041

License Status

NOT RENEWED

Business

N

First Name

CHRISTOPHER

Middle

TATE

Last Name

MILLER

Suffix

OD

Business Name

CHRISTOPHER TATE MILLER OD

Original Issue Date

03/18/2004

Effective Date

03/18/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006