TIM A BENGTSON Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007904

License Status

ACTIVE

Business

First Name

TIM A

Last Name

BENGTSON

Business Name

TIM A BENGTSON

Original Issue Date

08/18/1986

Effective Date

02/17/2026

Expiration Date

03/31/2028

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

02/17/2026