DIANA L MILHEIM OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****88

License Status

CANCELLED

Business

First Name

DIANA L

Last Name

MILHEIM

Suffix

Business Name

DIANA L MILHEIM OD

Original Issue Date

10/24/1996

Effective Date

03/10/2004

Expiration Date

03/31/2006

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006