JONATHAN LEONARD OTTINO OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935755

License Status

CANCELLED

Business

First Name

JONATHAN

Middle

LEONARD

Last Name

OTTINO

Suffix

Business Name

JONATHAN LEONARD OTTINO OD

Original Issue Date

10/07/2009

Effective Date

10/07/2009

Expiration Date

03/31/2010

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

05/04/2010