JACK J NIKOLEIT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047175194

License Status

NOT RENEWED

Business

Title

First Name

JACK

Middle

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

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005