JOSEPH JIM NORDQUIST Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****64

License Status

NOT RENEWED

Business

First Name

JOSEPH JIM

Last Name

NORDQUIST

Business Name

JOSEPH JIM NORDQUIST

Original Issue Date

06/23/1997

Effective Date

01/04/2020

Expiration Date

05/31/2022

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022