KEITH A LA VALLEE OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009075

License Status

ACTIVE

Business

First Name

KEITH

Middle

Last Name

LA VALLEE

Suffix

Business Name

KEITH A LA VALLEE OD

Original Issue Date

06/23/1998

Effective Date

03/31/2024

Expiration Date

03/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2026