ERIC OWEN NICHOLLS OD - Optometrist License in Illinois | # 047930800

ERIC OWEN NICHOLLS OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930800

License Status

NOT RENEWED

Business

N

First Name

ERIC

Middle

OWEN

Last Name

NICHOLLS

Suffix

OD

Business Name

ERIC OWEN NICHOLLS OD

Original Issue Date

12/15/2004

Effective Date

12/15/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006