FREDERICK THOMAS COLLISON OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****57

License Status

ACTIVE

Business

Title

First Name

FREDERICK

Middle

THOMAS

Last Name

COLLISON

Business Name

FREDERICK THOMAS COLLISON OD

Original Issue Date

08/10/2011

Effective Date

03/05/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/05/2026