Mariam Ethezaz Od

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

046011188

Status

Active

First issued

June 14, 2018

Expires

March 31, 2028

License holder

Mariam Ethezaz

Entity type

Individual

Classifications

• Licensed Optometrist (Optometry) Vision & Hearing

More from the license record

Current term began

03/13/2026

Other Illinois licenses under this name

• IL
  Mariam Ethezaz Od

  License 049199168 · Mariam Ethezaz

  Pharmacy Technician
  Expired

  Chicago, IL

  Expired Mar 31, 2011
• IL
  Mariam Ethezaz Od

  License 34*****31 · Mariam Ethezaz

  Optometrist Controlled Substance (Optometry)
  Inactive

  Chicago, IL

  Expired Mar 31, 2022
• IL
  Mariam Ethezaz Od

  License 34*****88 · Mariam Ethezaz

  Optometrist Controlled Substance (Optometry)
  Expired

  Chicago, IL

  Expired Mar 31, 2026

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