KARLA YVETTE KIRK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****26

License Status

NOT RENEWED

Business

First Name

KARLA

Middle

YVETTE

Last Name

KIRK

Suffix

Business Name

KARLA YVETTE KIRK OD

Original Issue Date

05/19/1999

Effective Date

03/12/2020

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62704

County

WHITESIDE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022