JACOB LEO STALLBAUMER Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011248

License Status

ACTIVE

Business

First Name

JACOB

Middle

LEO

Last Name

STALLBAUMER

Business Name

JACOB LEO STALLBAUMER

Original Issue Date

08/24/2018

Effective Date

03/13/2024

Expiration Date

03/31/2026

City

CHICAGO

State

Zip

60647

Ever Disciplined

LastModifiedDate

01/08/2026