ELLEN RENEE PETROCZKY Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****09

License Status

ACTIVE

Business

First Name

ELLEN

Middle

RENEE

Last Name

PETROCZKY

Business Name

ELLEN RENEE PETROCZKY

Original Issue Date

08/20/2007

Effective Date

03/04/2026

Expiration Date

03/31/2028

City

DEKALB

State

Zip

60115

County

KANE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/04/2026