SUSANNA C FOSTIAK Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****42

License Status

ACTIVE

Business

First Name

SUSANNA C

Last Name

FOSTIAK

Business Name

SUSANNA C FOSTIAK

Original Issue Date

04/17/1996

Effective Date

02/01/2026

Expiration Date

03/31/2028

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/01/2026