KEVIN JAY CHILDERS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047107658

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

JAY

Last Name

CHILDERS

Business Name

KEVIN JAY CHILDERS OD

Original Issue Date

10/03/1983

Expiration Date

03/31/1986

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

09/01/2005