TIMOTHY E MILLER OD - Optometrist License in Illinois | # 047935704

TIMOTHY E MILLER OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935704

License Status

CANCELLED

Business

N

First Name

TIMOTHY

Middle

E

Last Name

MILLER

Suffix

OD

Business Name

TIMOTHY E MILLER OD

Original Issue Date

09/21/2009

Effective Date

09/21/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010