DENNIS JOHN ELS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927561

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

JOHN

Last Name

ELS

Suffix

Business Name

DENNIS JOHN ELS OD

Original Issue Date

11/09/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

09/11/2005