NICHOLAS TOM ANDERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010100

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

TOM

Last Name

ANDERSON

Suffix

Business Name

NICHOLAS TOM ANDERSON OD

Original Issue Date

06/26/2008

Effective Date

06/26/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010