SAMUEL J FORZLEY Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****50

License Status

ACTIVE

Business

First Name

SAMUEL J

Last Name

FORZLEY

Business Name

SAMUEL J FORZLEY

Original Issue Date

06/04/1996

Effective Date

01/18/2026

Expiration Date

03/31/2028

City

LEMONT

State

Zip

60439

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/18/2026