DIANE G FORECKI Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007557

License Status

NOT RENEWED

Business

First Name

DIANE G

Last Name

FORECKI

Business Name

DIANE G FORECKI

Original Issue Date

08/03/1982

Effective Date

03/13/2022

Expiration Date

03/31/2024

City

FORT MYERS

State

Zip

33913

Ever Disciplined

LastModifiedDate

02/05/2025