SANDRA RAFAEL OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****61

License Status

ACTIVE

Business

First Name

SANDRA

Last Name

RAFAEL

Suffix

Business Name

SANDRA RAFAEL OD

Original Issue Date

09/01/1999

Effective Date

03/04/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026