P H KEHOE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927282

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

KEHOE

Suffix

Business Name

P H KEHOE OD

Original Issue Date

07/21/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

09/11/2005