KELLEY SCHWARTE BAUMHOVER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009702

License Status

NOT RENEWED

Business

First Name

KELLEY

Middle

SCHWARTE

Last Name

BAUMHOVER

Suffix

Business Name

KELLEY SCHWARTE BAUMHOVER OD

Original Issue Date

08/18/2004

Effective Date

03/30/2010

Expiration Date

03/31/2012

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/16/2012