NICOLE J DECKER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934540

License Status

CANCELLED

Business

Title

First Name

NICOLE

Middle

Last Name

DECKER

Business Name

NICOLE J DECKER OD

Original Issue Date

08/15/2008

Effective Date

08/15/2008

Expiration Date

03/31/2010

City

BEDFORD PARK

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010