NICOLE L SWIGART OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****10

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

Last Name

SWIGART

Business Name

NICOLE L SWIGART OD

Original Issue Date

04/05/2012

Effective Date

04/05/2012

Expiration Date

03/31/2014

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014