KELLY KAY KERKSICK OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009453

License Status

INACTIVE

Business

First Name

KELLY

Middle

KAY

Last Name

KERKSICK

Suffix

Business Name

KELLY KAY KERKSICK OD

Original Issue Date

06/26/2002

Effective Date

03/03/2016

Expiration Date

03/31/2018

City

LAKE OZARK

State

Zip

65049

Ever Disciplined

LastModifiedDate

01/12/2018