KEITH THOMAS HEDRICK Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047206408

License Status

CANCELLED

Business

First Name

KEITH THOMAS

Last Name

HEDRICK

Business Name

KEITH THOMAS HEDRICK

Original Issue Date

06/03/1988

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/04/2010