BRENT C NIELSEN OD - Optometrist License in Illinois | # 047927710

BRENT C NIELSEN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927710

License Status

NOT RENEWED

Business

N

First Name

BRENT

Middle

C

Last Name

NIELSEN

Suffix

OD

Business Name

BRENT C NIELSEN OD

Original Issue Date

02/02/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005