P H KEHOE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931569

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

KEHOE

Suffix

Business Name

P H KEHOE OD

Original Issue Date

10/18/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/02/2008