ERIC OWEN NICHOLLS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928571

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

OWEN

Last Name

NICHOLLS

Suffix

Business Name

ERIC OWEN NICHOLLS OD

Original Issue Date

04/19/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005