LENA GIN PARK Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****78

License Status

ACTIVE

Business

First Name

LENA

Middle

GIN

Last Name

PARK

Business Name

LENA GIN PARK

Original Issue Date

06/20/2006

Effective Date

01/08/2026

Expiration Date

03/31/2028

City

NORTH AURORA

State

Zip

60542

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026