EDEM MARDONA JONGUE OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****78

License Status

ACTIVE

Business

Title

First Name

EDEM

Middle

MARDONA

Last Name

JONGUE

Business Name

EDEM MARDONA JONGUE OD

Original Issue Date

07/24/2024

Effective Date

01/11/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/11/2026