KARLA YVETTE KIRK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929113

License Status

NOT RENEWED

Business

First Name

KARLA

Middle

YVETTE

Last Name

KIRK

Suffix

Business Name

KARLA YVETTE KIRK OD

Original Issue Date

10/25/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

09/11/2005