DENNIS W SIEMSEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****10

License Status

NOT RENEWED

Business

First Name

DENNIS W

Last Name

SIEMSEN

Suffix

Business Name

DENNIS W SIEMSEN OD

Original Issue Date

07/07/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/18/2006