KATELYN WANG BULT Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****17

License Status

ACTIVE

Business

First Name

KATELYN

Middle

WANG

Last Name

BULT

Business Name

KATELYN WANG BULT

Original Issue Date

07/29/2022

Effective Date

03/17/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026