Mariam Ethezaz Od

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049199168

Status

Expired (Not Renewed)

First issued

July 1, 2010

Expired

March 31, 2011

License holder

Mariam Ethezaz

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

07/01/2010

Other Illinois licenses under this name

• IL
  Mariam Ethezaz Od

  License 046011188 · Mariam Ethezaz

  Licensed Optometrist (Optometry)
  Active

  Chicago, IL

  Expires Mar 31, 2028
• 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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