DENNIS W SIEMSEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006906

License Status

NOT RENEWED

Business

First Name

DENNIS W

Last Name

SIEMSEN

Suffix

Business Name

DENNIS W SIEMSEN OD

Original Issue Date

11/23/1976

Expiration Date

01/01/1997

City

HOPEDALE

State

Zip

61747

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/01/2005