NICOLE J DECKER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934068

License Status

CANCELLED

Business

Title

First Name

NICOLE

Middle

Last Name

DECKER

Business Name

NICOLE J DECKER OD

Original Issue Date

04/04/2008

Effective Date

04/04/2008

Expiration Date

03/31/2010

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010