JACK J NIKOLEIT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928095

License Status

NOT RENEWED

Business

Title

First Name

JACK

Middle

Last Name

NIKOLEIT

Business Name

JACK J NIKOLEIT OD

Original Issue Date

08/21/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005