DENNIS EARL DETTMANN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929200

License Status

CANCELLED

Business

Title

First Name

DENNIS

Middle

EARL

Last Name

DETTMANN

Business Name

DENNIS EARL DETTMANN OD

Original Issue Date

12/16/2002

Effective Date

02/19/2008

Expiration Date

03/31/2010

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010