JENNIFER MAY WALLER OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****06

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

MAY

Last Name

WALLER

Suffix

Business Name

JENNIFER MAY WALLER OD

Original Issue Date

08/18/1998

Effective Date

02/23/2026

Expiration Date

03/31/2028

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/23/2026