ADAM CHARLES BLACK OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****55

License Status

ACTIVE

Business

Title

First Name

ADAM

Middle

CHARLES

Last Name

BLACK

Business Name

ADAM CHARLES BLACK OD

Original Issue Date

04/04/2017

Effective Date

03/20/2026

Expiration Date

03/31/2028

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/20/2026