JUDY CHANTHALANGSY Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****44

License Status

ACTIVE

Business

First Name

JUDY

Last Name

CHANTHALANGSY

Business Name

JUDY CHANTHALANGSY

Original Issue Date

10/14/2021

Effective Date

04/05/2024

Expiration Date

03/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026