KATHLEEN A KELLEY Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008099

License Status

INACTIVE

Business

First Name

KATHLEEN A

Last Name

KELLEY

Business Name

KATHLEEN A KELLEY

Original Issue Date

01/30/1988

Expiration Date

03/31/1990

City

FORT WAYNE

State

Zip

46835

County

INDIANA

Ever Disciplined

LastModifiedDate

08/31/2005