NICOLAS MICHAEL BEAUPRE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****84

License Status

NOT RENEWED

Business

First Name

NICOLAS

Middle

MICHAEL

Last Name

BEAUPRE

Suffix

Business Name

NICOLAS MICHAEL BEAUPRE OD

Original Issue Date

10/22/2012

Effective Date

02/22/2018

Expiration Date

09/30/2020

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021