RICHARD E ANDERSON Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****73

License Status

ACTIVE

Business

First Name

RICHARD E

Last Name

ANDERSON

Business Name

RICHARD E ANDERSON

Original Issue Date

11/19/1996

Effective Date

02/16/2024

Expiration Date

03/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026