JACK J NIKOLEIT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****53

License Status

NOT RENEWED

Business

Title

First Name

JACK

Middle

Last Name

NIKOLEIT

Business Name

JACK J NIKOLEIT OD

Original Issue Date

02/01/2002

Effective Date

03/08/2022

Expiration Date

03/31/2024

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/05/2025