CHARLOTTE F NIELSEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028590

License Status

NOT RENEWED

Business

First Name

CHARLOTTE F

Last Name

NIELSEN

Suffix

Business Name

CHARLOTTE F NIELSEN OD

Original Issue Date

03/04/1993

Expiration Date

03/31/1996

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

09/01/2005