DIANE STACEY KIRKORSKY OD - Optometrist License in Illinois | # 047038756

DIANE STACEY KIRKORSKY OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047038756

License Status

NOT RENEWED

Business

N

First Name

DIANE STACEY

Last Name

KIRKORSKY

Suffix

OD

Business Name

DIANE STACEY KIRKORSKY OD

Original Issue Date

04/28/1995

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005