DENNIS EARL DETTMANN OD

Business Entity
NOT RENEWED

Optometrist

LICENSED OPTOMETRIST ANCILLARY OFFICE

047047054

NOT RENEWED

N

OD

DENNIS

EARL

DETTMANN

DENNIS EARL DETTMANN OD

07/30/1994

03/31/1996

ROCKFORD

IL

61111

WINNEBAGO

N

09/01/2005