ERIC OWEN NICHOLLS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934240

License Status

CANCELLED

Business

First Name

ERIC

Middle

OWEN

Last Name

NICHOLLS

Suffix

Business Name

ERIC OWEN NICHOLLS OD

Original Issue Date

05/22/2008

Effective Date

05/22/2008

Expiration Date

03/31/2010

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010