JAMES M KELLY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926169

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

KELLY

Suffix

Business Name

JAMES M KELLY OD

Original Issue Date

04/06/1999

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005