WALTER H MILES Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****29

License Status

CANCELLED

Business

First Name

WALTER H

Last Name

MILES

Business Name

WALTER H MILES

Original Issue Date

06/09/1999

Effective Date

12/23/2002

Expiration Date

03/31/2004

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005