JOSEPH BARRY JACKSON Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****11

License Status

ACTIVE

Business

First Name

JOSEPH BARRY

Last Name

JACKSON

Business Name

JOSEPH BARRY JACKSON

Original Issue Date

06/04/1996

Effective Date

04/15/2024

Expiration Date

03/31/2026

City

PERU

State

Zip

61354

County

LA SALLE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/08/2026