DIANE STACEY KIRKORSKY OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****15

License Status

ACTIVE

Business

First Name

DIANE STACEY

Last Name

KIRKORSKY

Suffix

Business Name

DIANE STACEY KIRKORSKY OD

Original Issue Date

04/29/1997

Effective Date

03/20/2024

Expiration Date

03/31/2026

City

DEER PARK

State

Zip

60010

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026