DENNIS JOHN ELS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935581

License Status

CANCELLED

Business

First Name

DENNIS

Middle

JOHN

Last Name

ELS

Suffix

Business Name

DENNIS JOHN ELS OD

Original Issue Date

08/05/2009

Effective Date

08/05/2009

Expiration Date

03/31/2010

City

MENARD

State

Zip

62259

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/04/2010