DENNIS M BRTVA - Optometrist License in Illinois | # 047407731

DENNIS M BRTVA

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047407731

License Status

NOT RENEWED

Business

N

First Name

DENNIS M

Last Name

BRTVA

Business Name

DENNIS M BRTVA

Original Issue Date

01/01/1988

Expiration Date

03/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005