NICHOLAS C BOWEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****39

License Status

NOT RENEWED

Business

Title

First Name

NICHOLAS

Middle

Last Name

BOWEN

Business Name

NICHOLAS C BOWEN OD

Original Issue Date

07/22/2010

Effective Date

02/16/2016

Expiration Date

03/31/2018

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2018