KRYSTLE JO MILLER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****46

License Status

NOT RENEWED

Business

Title

First Name

KRYSTLE

Middle

Last Name

MILLER

Business Name

KRYSTLE JO MILLER OD

Original Issue Date

07/29/2013

Effective Date

07/29/2013

Expiration Date

03/31/2014

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014