NATHAN CURTIS DIECKOW OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****50

License Status

ACTIVE

Business

Title

First Name

NATHAN

Middle

CURTIS

Last Name

DIECKOW

Business Name

NATHAN CURTIS DIECKOW OD

Original Issue Date

07/02/2009

Effective Date

02/11/2026

Expiration Date

03/31/2028

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/11/2026