STEFAN MICHAEL SMITH OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010136

License Status

ACTIVE

Business

First Name

STEFAN

Middle

MICHAEL

Last Name

SMITH

Suffix

Business Name

STEFAN MICHAEL SMITH OD

Original Issue Date

07/17/2008

Effective Date

03/18/2026

Expiration Date

03/31/2028

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

03/18/2026