LAWRENCE H NIERMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****09

License Status

NOT RENEWED

Business

First Name

LAWRENCE H

Last Name

NIERMAN

Business Name

LAWRENCE H NIERMAN

Original Issue Date

06/17/1996

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021