JEFFREY A HUETTEMANN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028558

License Status

NOT RENEWED

Business

First Name

JEFFREY A

Last Name

HUETTEMANN

Suffix

Business Name

JEFFREY A HUETTEMANN OD

Original Issue Date

12/07/1992

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005