DENNIS EARL DETTMANN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933085

License Status

CANCELLED

Business

Title

First Name

DENNIS

Middle

EARL

Last Name

DETTMANN

Business Name

DENNIS EARL DETTMANN OD

Original Issue Date

06/20/2007

Effective Date

02/19/2008

Expiration Date

03/31/2010

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010