ERIC OWEN NICHOLLS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932267

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

OWEN

Last Name

NICHOLLS

Suffix

Business Name

ERIC OWEN NICHOLLS OD

Original Issue Date

05/11/2006

Effective Date

05/11/2006

Expiration Date

03/31/2008

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2008