KEITH NORMAN TYHURST OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933405

License Status

CANCELLED

Business

Title

First Name

KEITH

Middle

NORMAN

Last Name

TYHURST

Business Name

KEITH NORMAN TYHURST OD

Original Issue Date

09/24/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/04/2010