DENNIS W SIEMSEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925709

License Status

NOT RENEWED

Business

First Name

DENNIS W

Last Name

SIEMSEN

Suffix

Business Name

DENNIS W SIEMSEN OD

Original Issue Date

06/10/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005