AUTUMN B PAK Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****29

License Status

ACTIVE

Business

First Name

AUTUMN

Middle

Last Name

PAK

Business Name

AUTUMN B PAK

Original Issue Date

07/05/2011

Effective Date

03/05/2026

Expiration Date

03/31/2028

City

MUNDELEIN

State

Zip

60060

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/05/2026