NIKOLAS SCOTT DIEMER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931285

License Status

NOT RENEWED

Business

First Name

NIKOLAS

Middle

SCOTT

Last Name

DIEMER

Suffix

Business Name

NIKOLAS SCOTT DIEMER OD

Original Issue Date

07/25/2005

Effective Date

07/25/2005

Expiration Date

03/31/2006

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

05/11/2006