NICHOLAS AUSTIN QUALLS Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****59

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

AUSTIN

Last Name

QUALLS

Business Name

NICHOLAS AUSTIN QUALLS

Original Issue Date

06/29/2020

Effective Date

01/25/2026

Expiration Date

03/31/2028

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/25/2026