DIANE G FORECKI Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007557

License Status

NOT RENEWED

Business

First Name

DIANE G

Last Name

FORECKI

Business Name

DIANE G FORECKI

Original Issue Date

10/17/1984

Expiration Date

03/31/1988

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/01/2005