NIKOLAS SCOTT DIEMER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****87

License Status

NOT RENEWED

Business

First Name

NIKOLAS

Middle

SCOTT

Last Name

DIEMER

Suffix

Business Name

NIKOLAS SCOTT DIEMER OD

Original Issue Date

09/19/2005

Effective Date

03/05/2022

Expiration Date

03/31/2024

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025