MELISSA ANN MISKO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****24

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

ANN

Last Name

MISKO

Suffix

Business Name

MELISSA ANN MISKO OD

Original Issue Date

08/19/2008

Effective Date

08/19/2008

Expiration Date

03/31/2010

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010