JAMES B KELLEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****55

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

KELLEY

Suffix

Business Name

JAMES B KELLEY OD

Original Issue Date

08/22/2005

Effective Date

08/22/2005

Expiration Date

03/31/2006

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006