NICHOLAS JOSEPH PODPESKAR OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****04

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

JOSEPH

Last Name

PODPESKAR

Business Name

NICHOLAS JOSEPH PODPESKAR OD

Original Issue Date

09/04/2019

Effective Date

03/01/2026

Expiration Date

03/31/2028

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/01/2026