DIANE STACEY KIRKORSKY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008756

License Status

NOT RENEWED

Business

First Name

DIANE STACEY

Last Name

KIRKORSKY

Suffix

Business Name

DIANE STACEY KIRKORSKY OD

Original Issue Date

04/25/1995

Expiration Date

03/31/1998

City

NORRIDGE

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005