ANDREW LEWIS IBISCH OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****23

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

LEWIS

Last Name

IBISCH

Business Name

ANDREW LEWIS IBISCH OD

Original Issue Date

11/17/2018

Effective Date

01/12/2026

Expiration Date

03/31/2028

City

SPARTA

State

Zip

62286

County

RANDOLPH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/12/2026