ERIC OWEN NICHOLLS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930728

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

OWEN

Last Name

NICHOLLS

Suffix

Business Name

ERIC OWEN NICHOLLS OD

Original Issue Date

11/16/2004

Effective Date

11/16/2004

Expiration Date

03/31/2006

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006