NIKOLAS SCOTT DIEMER OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009671

License Status

INACTIVE

Business

First Name

NIKOLAS

Middle

SCOTT

Last Name

DIEMER

Suffix

Business Name

NIKOLAS SCOTT DIEMER OD

Original Issue Date

06/24/2004

Effective Date

03/05/2022

Expiration Date

03/31/2024

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/06/2024