JEFFREY THOMAS MANTERNACH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933315

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

THOMAS

Last Name

MANTERNACH

Suffix

Business Name

JEFFREY THOMAS MANTERNACH OD

Original Issue Date

08/20/2007

Effective Date

08/20/2007

Expiration Date

03/31/2008

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008