MIRIAM R COUVE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****99

License Status

NOT RENEWED

Business

First Name

MIRIAM R

Last Name

COUVE

Suffix

Business Name

MIRIAM R COUVE OD

Original Issue Date

01/04/2001

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61613

County

PEORIA

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/04/2010