DANIEL NAST JR OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929953

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Last Name

NAST

Suffix

Business Name

DANIEL NAST JR OD

Original Issue Date

01/16/2004

Effective Date

01/16/2004

Expiration Date

03/31/2006

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

01/18/2006