TARA KATHLEEN KEESEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927944

License Status

NOT RENEWED

Business

First Name

TARA

Middle

KATHLEEN

Last Name

KEESEY

Suffix

Business Name

TARA KATHLEEN KEESEY OD

Original Issue Date

06/01/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

09/11/2005