GEORGE MICHAEL NISTA OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****20

License Status

ACTIVE

Business

First Name

GEORGE

Middle

MICHAEL

Last Name

NISTA

Suffix

Business Name

GEORGE MICHAEL NISTA OD

Original Issue Date

06/21/2002

Effective Date

01/30/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60655

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/30/2026