KARLA YVETTE KIRK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926140

License Status

NOT RENEWED

Business

First Name

KARLA

Middle

YVETTE

Last Name

KIRK

Suffix

Business Name

KARLA YVETTE KIRK OD

Original Issue Date

03/08/1999

Effective Date

04/08/2004

Expiration Date

03/31/2006

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/11/2006