DEREK A STORM OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010935

License Status

ACTIVE

Business

Title

First Name

DEREK

Middle

Last Name

STORM

Business Name

DEREK A STORM OD

Original Issue Date

07/21/2015

Effective Date

03/23/2026

Expiration Date

03/31/2028

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

03/23/2026