KENNETH RONALD MINARIK OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****43

License Status

ACTIVE

Business

First Name

KENNETH

Middle

RONALD

Last Name

MINARIK

Suffix

Business Name

KENNETH RONALD MINARIK OD

Original Issue Date

10/02/1998

Effective Date

03/20/2026

Expiration Date

03/31/2028

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/20/2026