EDWARD STEPHEN KOUTNIK Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010901

License Status

INACTIVE

Business

First Name

EDWARD

Middle

STEPHEN

Last Name

KOUTNIK

Business Name

EDWARD STEPHEN KOUTNIK

Original Issue Date

07/01/2015

Effective Date

01/11/2024

Expiration Date

03/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

03/15/2026