JACK J NIKOLEIT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932106

License Status

NOT RENEWED

Business

Title

First Name

JACK

Middle

Last Name

NIKOLEIT

Business Name

JACK J NIKOLEIT OD

Original Issue Date

04/20/2006

Effective Date

04/20/2006

Expiration Date

03/31/2008

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008