JEFFREY THOMAS MANTERNACH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010014

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

THOMAS

Last Name

MANTERNACH

Suffix

Business Name

JEFFREY THOMAS MANTERNACH OD

Original Issue Date

07/17/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010