DENNIS EARL DETTMANN OD - Optometrist License in Illinois | # 047928735

DENNIS EARL DETTMANN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928735

License Status

NOT RENEWED

Business

N

Title

OD

First Name

DENNIS

Middle

EARL

Last Name

DETTMANN

Business Name

DENNIS EARL DETTMANN OD

Original Issue Date

06/10/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005