CHRISTOPHER TATE MILLER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930041

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

TATE

Last Name

MILLER

Suffix

Business Name

CHRISTOPHER TATE MILLER OD

Original Issue Date

03/18/2004

Effective Date

03/18/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006