KELLY KAY KERKSICK OD - Optometrist License in Illinois | # 047928847

KELLY KAY KERKSICK OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928847

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

KAY

Last Name

KERKSICK

Suffix

OD

Business Name

KELLY KAY KERKSICK OD

Original Issue Date

08/14/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005