MIRIAM R COUVE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931118

License Status

NOT RENEWED

Business

First Name

MIRIAM R

Last Name

COUVE

Suffix

Business Name

MIRIAM R COUVE OD

Original Issue Date

04/21/2005

Effective Date

07/17/2006

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008