KEITH ERIC HOUGAS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929756

License Status

CANCELLED

Business

First Name

KEITH

Middle

ERIC

Last Name

HOUGAS

Suffix

Business Name

KEITH ERIC HOUGAS OD

Original Issue Date

10/16/2003

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CARY

State

Zip

60013

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/04/2010