DAVID A NIELSEN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925487

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

NIELSEN

Business Name

DAVID A NIELSEN

Original Issue Date

10/27/1997

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

09/11/2005