NIKOLAS SCOTT DIEMER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930847

License Status

CANCELLED

Business

First Name

NIKOLAS

Middle

SCOTT

Last Name

DIEMER

Suffix

Business Name

NIKOLAS SCOTT DIEMER OD

Original Issue Date

01/14/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

LANARK

State

Zip

61046

County

CARROLL

Ever Disciplined

LastModifiedDate

05/04/2010