TIMOTHY E MILLER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****39

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

MILLER

Suffix

Business Name

TIMOTHY E MILLER OD

Original Issue Date

03/07/2006

Effective Date

03/17/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012