CHARLES S KEFALAS OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****12

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

KEFALAS

Suffix

Business Name

CHARLES S KEFALAS OD

Original Issue Date

12/06/1999

Effective Date

03/28/2024

Expiration Date

03/31/2026

City

CHICAGO

State

Zip

60629

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026