KEITH FREDRICK TYLER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009995

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

FREDRICK

Last Name

TYLER

Suffix

Business Name

KEITH FREDRICK TYLER OD

Original Issue Date

06/27/2007

Effective Date

03/22/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/16/2012