LISA M JEZIORNY KEROUAC OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****12

License Status

ACTIVE

Business

Title

First Name

LISA

Middle

Last Name

JEZIORNY KEROUAC

Business Name

LISA M JEZIORNY KEROUAC OD

Original Issue Date

04/12/2012

Effective Date

02/02/2026

Expiration Date

03/31/2028

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/02/2026