P H KEHOE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930381

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

KEHOE

Suffix

Business Name

P H KEHOE OD

Original Issue Date

06/30/2004

Effective Date

09/13/2006

Expiration Date

03/31/2008

City

SHERIDAN

State

Zip

60551

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/02/2008