KEITH ERIC HOUGAS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928426

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

ERIC

Last Name

HOUGAS

Suffix

Business Name

KEITH ERIC HOUGAS OD

Original Issue Date

02/20/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ELBURN

State

Zip

60119

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005