License Information
License Number
046002890Business Name
DWIGHT A NICCUMLicense Type
OPTOMETRYOriginal Issue Date
1970-01-01License Status
NOT RENEWEDCity
EFFINGHAMState
ILCounty
EFFINGHAMPost
62401Update Date
2022-09-04Business
NExpiration Date
05/01/1982Ever Disciplined
NLastModifiedDate
08/31/2005Registered Location
Peripheral Licensees
- JILL R ADAMS EFFINGHAM, IL 62401
- CHARLES E BRUMLEVE EFFINGHAM, IL 62401
- JOSEPH F BRUMLEVE EFFINGHAM, IL 62401
- RICHARD DEE HANKS EFFINGHAM, IL 62401
- CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS SC EFFINGHAM, IL 62401
- BILL R BURTON EFFINGHAM, IL 62401
- HERBERT AUSTIN EFFINGHAM, IL 62401
- KENNETH R TROYAN EFFINGHAM, IL 62401
- ROBERT ROY MIXON EFFINGHAM, IL 62401
- MORTON B HARRIS EFFINGHAM, IL 62401