IVETTA SUE DACCACHE OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****73

License Status

ACTIVE

Business

First Name

IVETTA

Middle

SUE

Last Name

DACCACHE

Suffix

Business Name

IVETTA SUE DACCACHE OD

Original Issue Date

02/08/2005

Effective Date

03/24/2026

Expiration Date

03/31/2028

City

PEKIN

State

Zip

61554

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/24/2026