ANDREW THOMAS BENEDICT OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****06

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

THOMAS

Last Name

BENEDICT

Business Name

ANDREW THOMAS BENEDICT OD

Original Issue Date

09/25/2018

Effective Date

01/10/2024

Expiration Date

03/31/2026

City

PEORIA

State

Zip

61615

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026