JACK J NIKOLEIT OD - Optometrist License in Illinois | # 047175194

JACK J NIKOLEIT OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047175194

License Status

NOT RENEWED

Business

N

Title

OD

First Name

JACK

Middle

J

Last Name

NIKOLEIT

Business Name

JACK J NIKOLEIT OD

Original Issue Date

07/10/1996

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005