D KEITH NAGY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047207004

License Status

NOT RENEWED

Business

First Name

Middle

KEITH

Last Name

NAGY

Suffix

Business Name

D KEITH NAGY OD

Original Issue Date

06/07/1988

Expiration Date

03/31/1990

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

09/01/2005