KEVIN MICHAEL BLACKETT Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011746

License Status

ACTIVE

Business

First Name

KEVIN

Middle

MICHAEL

Last Name

BLACKETT

Business Name

KEVIN MICHAEL BLACKETT

Original Issue Date

08/10/2023

Effective Date

01/22/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

01/22/2026