D KEITH NAGY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****45

License Status

NOT RENEWED

Business

First Name

Middle

KEITH

Last Name

NAGY

Suffix

Business Name

D KEITH NAGY OD

Original Issue Date

10/02/1998

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021