DWIGHT A NICCUM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046002890

License Status

NOT RENEWED

Business

First Name

DWIGHT A

Last Name

NICCUM

Business Name

DWIGHT A NICCUM

Expiration Date

05/01/1982

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

08/31/2005