TARA KATHLEEN KEESEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927315

License Status

NOT RENEWED

Business

First Name

TARA

Middle

KATHLEEN

Last Name

KEESEY

Suffix

Business Name

TARA KATHLEEN KEESEY OD

Original Issue Date

08/09/2000

Effective Date

04/01/2004

Expiration Date

03/31/2006

City

SAVANNA

State

Zip

61074

County

CARROLL

Ever Disciplined

LastModifiedDate

05/11/2006