KEITH NORMAN TYHURST OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****87

License Status

NOT RENEWED

Business

Title

First Name

KEITH

Middle

NORMAN

Last Name

TYHURST

Business Name

KEITH NORMAN TYHURST OD

Original Issue Date

07/17/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010