JEFFREY THOMAS MANTERNACH OD - Optometrist License in Illinois | # 047933315

JEFFREY THOMAS MANTERNACH OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933315

License Status

NOT RENEWED

Business

N

First Name

JEFFREY

Middle

THOMAS

Last Name

MANTERNACH

Suffix

OD

Business Name

JEFFREY THOMAS MANTERNACH OD

Original Issue Date

08/20/2007

Effective Date

08/20/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008