ERIC OWEN NICHOLLS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932678

License Status

CANCELLED

Business

First Name

ERIC

Middle

OWEN

Last Name

NICHOLLS

Suffix

Business Name

ERIC OWEN NICHOLLS OD

Original Issue Date

11/20/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

JOHNSBURG

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/04/2010