NICOLE MARIE KOSCIUK BRAUER 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

NICOLE

Middle

MARIE

Last Name

KOSCIUK BRAUER

Business Name

NICOLE MARIE KOSCIUK BRAUER

Original Issue Date

07/01/2015

Effective Date

02/09/2016

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018