RALPH S GEIDERMAN Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****56

License Status

ACTIVE

Business

First Name

RALPH S

Last Name

GEIDERMAN

Business Name

RALPH S GEIDERMAN

Original Issue Date

04/20/2006

Effective Date

03/17/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/17/2026