JEFFREY ALLAN DANNATT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****39

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

ALLAN

Last Name

DANNATT

Suffix

Business Name

JEFFREY ALLAN DANNATT OD

Original Issue Date

10/06/2004

Effective Date

03/31/2016

Expiration Date

03/31/2018

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

06/19/2018