Optometrist
LICENSED OPTOMETRIST
046003866
NOT RENEWED
N
OD
DANIEL
NAST
JR
DANIEL NAST JR OD
03/17/2010
03/30/2018
09/30/2020
IL
Y
01/14/2021
2003008279
Fine
07/29/2004
Submitted records of care and treatment to the Department in April 2004 involving a patient which differed in substance to those same records provided to a Department investigator in December 2003.