MARK J VIDAS Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****22

License Status

ACTIVE

Business

First Name

MARK J

Last Name

VIDAS

Business Name

MARK J VIDAS

Original Issue Date

05/22/1996

Effective Date

01/30/2024

Expiration Date

03/31/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026