DANIEL NAST JR OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930290

License Status

CANCELLED

Business

Title

First Name

DANIEL

Last Name

NAST

Suffix

Business Name

DANIEL NAST JR OD

Original Issue Date

06/09/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010