ERIC OWEN NICHOLLS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****85

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

OWEN

Last Name

NICHOLLS

Suffix

Business Name

ERIC OWEN NICHOLLS OD

Original Issue Date

11/30/2006

Effective Date

02/05/2016

Expiration Date

03/31/2018

City

JOHNSBURG

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018