TERRY B VAIL Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****05

License Status

ACTIVE

Business

First Name

TERRY B

Last Name

VAIL

Business Name

TERRY B VAIL

Original Issue Date

05/30/1996

Effective Date

03/26/2026

Expiration Date

03/31/2028

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/26/2026