JASMINE LOPEZ Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****13

License Status

ACTIVE

Business

First Name

JASMINE

Last Name

LOPEZ

Business Name

JASMINE LOPEZ

Original Issue Date

12/04/2023

Effective Date

03/13/2026

Expiration Date

03/31/2028

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/13/2026