JIRASAN SAKULSOM Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****07

License Status

ACTIVE

Business

First Name

JIRASAN

Last Name

SAKULSOM

Business Name

JIRASAN SAKULSOM

Original Issue Date

03/27/2012

Effective Date

03/11/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/11/2026