STEFAN MICHAEL SMITH OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****35

License Status

ACTIVE

Business

First Name

STEFAN

Middle

MICHAEL

Last Name

SMITH

Suffix

Business Name

STEFAN MICHAEL SMITH OD

Original Issue Date

09/04/2008

Effective Date

03/18/2026

Expiration Date

03/31/2028

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/18/2026