P H KEHOE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925502

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

KEHOE

Suffix

Business Name

P H KEHOE OD

Original Issue Date

11/13/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

EAST ST LOUIS

State

Zip

62203

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005