RANDALL THOMAS ANDREOLI Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****49

License Status

NOT RENEWED

Business

First Name

RANDALL THOMAS

Last Name

ANDREOLI

Business Name

RANDALL THOMAS ANDREOLI

Original Issue Date

01/29/2002

Effective Date

03/24/2022

Expiration Date

03/31/2024

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025