NICOLE L SWIGART OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****09

License Status

INACTIVE

Business

Title

First Name

NICOLE

Middle

Last Name

SWIGART

Business Name

NICOLE L SWIGART OD

Original Issue Date

03/27/2012

Effective Date

03/31/2022

Expiration Date

03/31/2024

City

MCHENRY

State

Zip

60051

County

BOONE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/31/2022