P H KEHOE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047017889

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

KEHOE

Suffix

Business Name

P H KEHOE OD

Original Issue Date

01/31/1995

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

09/11/2005