KELLY MARIE KEANE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010706

License Status

NOT RENEWED

Business

Title

First Name

KELLY

Middle

MARIE

Last Name

KEANE

Business Name

KELLY MARIE KEANE OD

Original Issue Date

07/12/2013

Effective Date

02/14/2014

Expiration Date

03/31/2016

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016