FREDERICK M NISTA Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006478

License Status

INACTIVE

Business

First Name

FREDERICK M

Last Name

NISTA

Business Name

FREDERICK M NISTA

Original Issue Date

07/26/1972

Expiration Date

03/31/1984

City

BIG RAPIDS

State

Zip

49307

County

MICHIGAN

Ever Disciplined

LastModifiedDate

08/31/2005