EDWARD STEPHEN KOUTNIK Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****70

License Status

INOPERATIVE

Business

First Name

EDWARD

Middle

STEPHEN

Last Name

KOUTNIK

Business Name

EDWARD STEPHEN KOUTNIK

Original Issue Date

07/01/2015

Effective Date

01/11/2024

Expiration Date

03/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026