NIKOLAS SCOTT DIEMER OD - Optometrist License in Illinois | # 047930835

NIKOLAS SCOTT DIEMER OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930835

License Status

CANCELLED

Business

N

First Name

NIKOLAS

Middle

SCOTT

Last Name

DIEMER

Suffix

OD

Business Name

NIKOLAS SCOTT DIEMER OD

Original Issue Date

01/07/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010