STEPHEN LESTER NICHOLS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927641

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

LESTER

Last Name

NICHOLS

Suffix

Business Name

STEPHEN LESTER NICHOLS OD

Original Issue Date

12/13/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005