THEODORE KELLY Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009333

License Status

NOT RENEWED

Business

First Name

THEODORE

Last Name

KELLY

Business Name

THEODORE KELLY

Original Issue Date

06/04/2001

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

PENSACOLA

State

Zip

32507

County

FLORIDA

Ever Disciplined

LastModifiedDate

05/02/2008