DAVID S NIERMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****13

License Status

NOT RENEWED

Business

First Name

DAVID S

Last Name

NIERMAN

Business Name

DAVID S NIERMAN

Original Issue Date

04/27/2009

Effective Date

03/31/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012