SCOTT D POUYAT OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****07

License Status

ACTIVE

Business

First Name

SCOTT

Middle

Last Name

POUYAT

Suffix

Business Name

SCOTT D POUYAT OD

Original Issue Date

07/11/2016

Effective Date

03/20/2024

Expiration Date

03/31/2026

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026