CHARLOTTE F NIELSEN OD - Optometrist License in Illinois | # 047935045

CHARLOTTE F NIELSEN OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935045

License Status

CANCELLED

Business

N

First Name

CHARLOTTE F

Last Name

NIELSEN

Suffix

OD

Business Name

CHARLOTTE F NIELSEN OD

Original Issue Date

01/28/2009

Effective Date

01/28/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010