DIANE G FORECKI Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047207557

License Status

NOT RENEWED

Business

First Name

DIANE G

Last Name

FORECKI

Business Name

DIANE G FORECKI

Original Issue Date

11/23/1988

Expiration Date

03/31/1990

City

OAK BROOK

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/01/2005