JENNIFER MAY WALLER OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009087

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

MAY

Last Name

WALLER

Suffix

Business Name

JENNIFER MAY WALLER OD

Original Issue Date

07/13/1998

Effective Date

02/23/2026

Expiration Date

03/31/2028

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/23/2026