DANIEL JOSEPH JANNOTTA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****57

License Status

NOT RENEWED

Business

First Name

DANIEL JOSEPH

Last Name

JANNOTTA

Business Name

DANIEL JOSEPH JANNOTTA

Original Issue Date

06/10/1996

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021