JACK J NIKOLEIT OD - Optometrist License in Illinois | # 047165194

JACK J NIKOLEIT OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047165194

License Status

CANCELLED

Business

N

Title

OD

First Name

JACK

Middle

J

Last Name

NIKOLEIT

Business Name

JACK J NIKOLEIT OD

Original Issue Date

11/15/1994

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010