KEITH R HAMM OD - Optometrist License in Illinois | # 047929249

KEITH R HAMM OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929249

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

01/29/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005