KEITH R HAMM OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****95

License Status

ACTIVE

Business

First Name

KEITH

Middle

Last Name

HAMM

Suffix

Business Name

KEITH R HAMM OD

Original Issue Date

10/23/2002

Effective Date

03/17/2026

Expiration Date

03/31/2028

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/17/2026