STEPHANIE ANN WIECZOREK Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****42

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

ANN

Last Name

WIECZOREK

Business Name

STEPHANIE ANN WIECZOREK

Original Issue Date

12/05/2003

Effective Date

02/25/2026

Expiration Date

03/31/2028

City

ELMHURST

State

Zip

60126

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/25/2026