MELANIE PATRICIA NICHOL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926678

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

PATRICIA

Last Name

NICHOL

Suffix

Business Name

MELANIE PATRICIA NICHOL OD

Original Issue Date

12/28/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

NORRIDGE

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005