KELLY KAY KERKSICK OD - Optometrist License in Illinois | # 047928931

KELLY KAY KERKSICK OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928931

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

08/29/2002

Effective Date

06/21/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006