DIANE STACEY KIRKORSKY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934998

License Status

CANCELLED

Business

First Name

DIANE STACEY

Last Name

KIRKORSKY

Suffix

Business Name

DIANE STACEY KIRKORSKY OD

Original Issue Date

01/13/2009

Effective Date

01/13/2009

Expiration Date

03/31/2010

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010