CHARLOTTE F NIELSEN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935045

License Status

CANCELLED

Business

First Name

CHARLOTTE F

Last Name

NIELSEN

Suffix

Business Name

CHARLOTTE F NIELSEN OD

Original Issue Date

01/28/2009

Effective Date

01/28/2009

Expiration Date

03/31/2010

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010