TARA NICOLE VAN DE WYNGAERDE OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009989

License Status

ACTIVE

Business

First Name

TARA

Middle

NICOLE

Last Name

VAN DE WYNGAERDE

Suffix

Business Name

TARA NICOLE VAN DE WYNGAERDE OD

Original Issue Date

06/25/2007

Effective Date

02/04/2026

Expiration Date

03/31/2028

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

02/04/2026