DENNIS JOHN ELS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930360

License Status

CANCELLED

Business

First Name

DENNIS

Middle

JOHN

Last Name

ELS

Suffix

Business Name

DENNIS JOHN ELS OD

Original Issue Date

06/29/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

01/10/2008