TIM A BENGTSON Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****48

License Status

ACTIVE

Business

First Name

TIM A

Last Name

BENGTSON

Business Name

TIM A BENGTSON

Original Issue Date

04/22/1996

Effective Date

02/17/2026

Expiration Date

03/31/2028

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/17/2026