NIKOLAS SCOTT DIEMER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****56

License Status

NOT RENEWED

Business

First Name

NIKOLAS

Middle

SCOTT

Last Name

DIEMER

Suffix

Business Name

NIKOLAS SCOTT DIEMER OD

Original Issue Date

03/22/2016

Effective Date

02/13/2018

Expiration Date

09/30/2020

City

LANARK

State

Zip

61046

County

CARROLL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021