ROSS W MLSNA OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****06

License Status

ACTIVE

Business

First Name

ROSS

Middle

Last Name

MLSNA

Suffix

Business Name

ROSS W MLSNA OD

Original Issue Date

07/22/1996

Effective Date

03/11/2026

Expiration Date

03/31/2028

City

YORKVILLE

State

Zip

60560

County

KENDALL

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026