D KEITH NAGY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007004

License Status

CANCELLED

Business

First Name

Middle

KEITH

Last Name

NAGY

Suffix

Business Name

D KEITH NAGY OD

Original Issue Date

01/20/1988

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

DANVILLE

State

Zip

61834

County

VERMILION

Ever Disciplined

LastModifiedDate

05/04/2010