MICHAEL WILLIAM MENCONI Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****74

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

WILLIAM

Last Name

MENCONI

Business Name

MICHAEL WILLIAM MENCONI

Original Issue Date

07/29/2009

Effective Date

03/05/2026

Expiration Date

03/31/2028

City

AURORA

State

Zip

60504

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/05/2026