MICAH SEAN MILLS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****73

License Status

NOT RENEWED

Business

First Name

MICAH

Middle

SEAN

Last Name

MILLS

Business Name

MICAH SEAN MILLS

Original Issue Date

06/27/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010