SCOTT B FORD OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****01

License Status

ACTIVE

Business

First Name

SCOTT

Middle

Last Name

FORD

Suffix

Business Name

SCOTT B FORD OD

Original Issue Date

12/09/1997

Effective Date

03/24/2024

Expiration Date

03/31/2026

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026