KEVIN M BECKER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927929

License Status

CANCELLED

Business

Title

First Name

KEVIN

Middle

Last Name

BECKER

Business Name

KEVIN M BECKER OD

Original Issue Date

05/31/2001

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MOUNT STERLING

State

Zip

62353

County

BROWN

Ever Disciplined

LastModifiedDate

05/04/2010