JACK J NIKOLEIT OD - Optometrist License in Illinois | # 047928095

JACK J NIKOLEIT OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928095

License Status

NOT RENEWED

Business

N

Title

OD

First Name

JACK

Middle

J

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005