DENNIS JOHN ELS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****30

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

JOHN

Last Name

ELS

Suffix

Business Name

DENNIS JOHN ELS OD

Original Issue Date

11/28/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

Practitioner

Ever Disciplined

LastModifiedDate

01/18/2006