MIKLOS BALOGH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****59

License Status

NOT RENEWED

Business

Title

First Name

MIKLOS

Last Name

BALOGH

Business Name

MIKLOS BALOGH OD

Original Issue Date

06/04/1996

Effective Date

03/09/2022

Expiration Date

03/31/2024

City

BOURBONNAIS

State

Zip

60914

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025