KARLA YVETTE KIRK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929082

License Status

NOT RENEWED

Business

First Name

KARLA

Middle

YVETTE

Last Name

KIRK

Suffix

Business Name

KARLA YVETTE KIRK OD

Original Issue Date

10/18/2002

Effective Date

04/08/2004

Expiration Date

03/31/2006

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/11/2006