THOMAS E GUSTAFSON OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****45

License Status

ACTIVE

Business

First Name

THOMAS

Middle

Last Name

GUSTAFSON

Suffix

Business Name

THOMAS E GUSTAFSON OD

Original Issue Date

11/19/1996

Effective Date

01/09/2024

Expiration Date

03/31/2026

City

PALATINE

State

Zip

60067

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026