NICHOLAS J BLASCO Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****00

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

BLASCO

Business Name

NICHOLAS J BLASCO

Original Issue Date

06/11/2021

Effective Date

03/12/2026

Expiration Date

03/31/2028

City

BUFFALO GROVE

State

Zip

60089

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/12/2026