GEORGE MICHAEL NISTA OD - Optometrist License in Illinois | # 047932725

GEORGE MICHAEL NISTA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932725

License Status

NOT RENEWED

Business

N

First Name

GEORGE

Middle

MICHAEL

Last Name

NISTA

Suffix

OD

Business Name

GEORGE MICHAEL NISTA OD

Original Issue Date

12/14/2006

Effective Date

12/14/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008