STEPHANIE RAE GOGGIN OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****31

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

RAE

Last Name

GOGGIN

Suffix

Business Name

STEPHANIE RAE GOGGIN OD

Original Issue Date

08/14/2000

Effective Date

03/03/2026

Expiration Date

03/31/2028

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/03/2026