JOHN LUM ICHISHITA OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****29

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

LUM

Last Name

ICHISHITA

Business Name

JOHN LUM ICHISHITA OD

Original Issue Date

09/21/2015

Effective Date

03/15/2026

Expiration Date

03/31/2028

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/15/2026