DENNIS EARL DETTMANN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047097054

License Status

CANCELLED

Business

Title

First Name

DENNIS

Middle

EARL

Last Name

DETTMANN

Business Name

DENNIS EARL DETTMANN OD

Original Issue Date

07/30/1994

Effective Date

02/19/2008

Expiration Date

03/31/2010

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010