ANGELINA FAQUITTA BONNER OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****59

License Status

ACTIVE

Business

Title

First Name

ANGELINA

Middle

FAQUITTA

Last Name

BONNER

Business Name

ANGELINA FAQUITTA BONNER OD

Original Issue Date

03/28/2016

Effective Date

01/08/2026

Expiration Date

03/31/2028

City

MATTESON

State

Zip

60443

County

VERMILION

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026