JACK J NIKOLEIT OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933926

License Status

CANCELLED

Business

Title

First Name

JACK

Middle

Last Name

NIKOLEIT

Business Name

JACK J NIKOLEIT OD

Original Issue Date

03/26/2008

Effective Date

03/26/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010