DANIELLE MARIE KEITH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010383

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

MARIE

Last Name

KEITH

Suffix

Business Name

DANIELLE MARIE KEITH OD

Original Issue Date

07/06/2010

Effective Date

02/09/2012

Expiration Date

03/31/2014

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2014