MIRIAM R COUVE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930409

License Status

NOT RENEWED

Business

First Name

MIRIAM R

Last Name

COUVE

Suffix

Business Name

MIRIAM R COUVE OD

Original Issue Date

08/04/2004

Effective Date

08/04/2004

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61613

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006