DENNIS EARL DETTMANN OD - Optometrist License in Illinois | # 047933089

DENNIS EARL DETTMANN OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933089

License Status

CANCELLED

Business

N

Title

OD

First Name

DENNIS

Middle

EARL

Last Name

DETTMANN

Business Name

DENNIS EARL DETTMANN OD

Original Issue Date

06/20/2007

Effective Date

06/11/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010