TARA KATHLEEN KEESEY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****27

License Status

CANCELLED

Business

First Name

TARA

Middle

KATHLEEN

Last Name

KEESEY

Suffix

Business Name

TARA KATHLEEN KEESEY OD

Original Issue Date

08/09/2000

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

STERLING

State

Zip

61081

County

WHITESIDE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/10/2008