Mariam Ethezaz Od

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

34*****31

Status

Inactive

First issued

December 6, 2018

Expired

March 31, 2022

License holder

Mariam Ethezaz

Entity type

Individual

Classifications

• Optometrist Controlled Substance (Optometry) Vision & Hearing

More from the license record

Specialty

Practitioner

Controlled substance schedules

II III IV V

Current term began

03/10/2020

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 049199168 · Mariam Ethezaz

  Pharmacy Technician
  Expired

  Chicago, IL

  Expired Mar 31, 2011
• IL
  Mariam Ethezaz Od

  License 34*****88 · Mariam Ethezaz

  Optometrist Controlled Substance (Optometry)
  Expired

  Chicago, IL

  Expired Mar 31, 2026

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