LETICIA M DE MAIO OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****52

License Status

ACTIVE

Business

First Name

LETICIA

Middle

Last Name

DE MAIO

Suffix

Business Name

LETICIA M DE MAIO OD

Original Issue Date

04/22/1996

Effective Date

03/16/2024

Expiration Date

03/31/2026

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026