KEITH R HAMM OD - Optometrist License in Illinois | # 047929077

KEITH R HAMM OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929077

License Status

NOT RENEWED

Business

N

First Name

KEITH

Middle

R

Last Name

HAMM

Suffix

OD

Business Name

KEITH R HAMM OD

Original Issue Date

10/18/2002

Effective Date

02/11/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006