JACQUELINE M CARLOCK OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****78

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

CARLOCK

Suffix

Business Name

JACQUELINE M CARLOCK OD

Original Issue Date

06/13/1996

Effective Date

03/29/2024

Expiration Date

03/31/2026

City

LEMONT

State

Zip

60439

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026