DIANE STACEY KIRKORSKY OD - Optometrist License in Illinois | # 047926317

DIANE STACEY KIRKORSKY OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926317

License Status

NOT RENEWED

Business

N

First Name

DIANE STACEY

Last Name

KIRKORSKY

Suffix

OD

Business Name

DIANE STACEY KIRKORSKY OD

Original Issue Date

08/06/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005