NICHOLAS PATRICK STOFFREGEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****34

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

PATRICK

Last Name

STOFFREGEN

Suffix

Business Name

NICHOLAS PATRICK STOFFREGEN OD

Original Issue Date

04/24/2008

Effective Date

04/24/2008

Expiration Date

03/31/2010

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010