JACKSON R BENNETT JR OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007379

License Status

ACTIVE

Business

First Name

JACKSON

Middle

Last Name

BENNETT

Suffix

JR OD

Business Name

JACKSON R BENNETT JR OD

Original Issue Date

08/07/1980

Effective Date

03/04/2026

Expiration Date

03/31/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

03/04/2026

Case Number

1992005864

Action

Reprimand

Discipline Start Date

02/05/1993

Discipline Reason

Failed to possess an ancillary license for their secondary location.