P H KEHOE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929999

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

KEHOE

Suffix

Business Name

P H KEHOE OD

Original Issue Date

02/23/2004

Effective Date

02/23/2004

Expiration Date

03/31/2006

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/11/2006