NICOLE J DECKER OD - Optometrist License in Illinois | # 047933429

NICOLE J DECKER OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933429

License Status

CANCELLED

Business

N

Title

OD

First Name

NICOLE

Middle

J

Last Name

DECKER

Business Name

NICOLE J DECKER OD

Original Issue Date

09/28/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010