JOHN R EIGENBRODT Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****13

License Status

ACTIVE

Business

First Name

JOHN R

Last Name

EIGENBRODT

Business Name

JOHN R EIGENBRODT

Original Issue Date

06/17/1996

Effective Date

01/13/2026

Expiration Date

03/31/2028

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/13/2026