SUSAN M PENNER OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****03

License Status

ACTIVE

Business

First Name

SUSAN M

Last Name

PENNER

Suffix

Business Name

SUSAN M PENNER OD

Original Issue Date

04/16/1997

Effective Date

03/14/2026

Expiration Date

03/31/2028

City

BYRON

State

Zip

61010

County

OGLE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/14/2026