DIANE G FORECKI - Optometrist License in Florida | # 34*****25

DIANE G FORECKI

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****25

License Status

NOT RENEWED

Business

N

First Name

DIANE G

Last Name

FORECKI

Business Name

DIANE G FORECKI

Original Issue Date

04/11/2008

Effective Date

03/13/2022

Expiration Date

03/31/2024

State

FL

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

IV

Ever Disciplined

N

LastModifiedDate

02/05/2025