STEVEN M GUSTAFSON OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****23

License Status

ACTIVE

Business

First Name

STEVEN M

Last Name

GUSTAFSON

Suffix

Business Name

STEVEN M GUSTAFSON OD

Original Issue Date

12/28/1999

Effective Date

03/12/2026

Expiration Date

03/31/2028

City

OSWEGO

State

Zip

60543

County

KENDALL

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/12/2026