JORGE A BENAVENTE OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****33

License Status

ACTIVE

Business

First Name

JORGE

Middle

Last Name

BENAVENTE

Suffix

Business Name

JORGE A BENAVENTE OD

Original Issue Date

04/25/2003

Effective Date

03/18/2026

Expiration Date

03/31/2028

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/18/2026