JEFFREY J BLANCO OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****07

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

Last Name

BLANCO

Suffix

Business Name

JEFFREY J BLANCO OD

Original Issue Date

10/19/2005

Effective Date

03/04/2026

Expiration Date

03/31/2028

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/04/2026