JEFFREY THOMAS MANTERNACH OD - Optometrist License in Illinois | # 046010014

JEFFREY THOMAS MANTERNACH OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010014

License Status

NOT RENEWED

Business

N

First Name

JEFFREY

Middle

THOMAS

Last Name

MANTERNACH

Suffix

OD

Business Name

JEFFREY THOMAS MANTERNACH OD

Original Issue Date

07/17/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010