DONALD WADE HENDERSON OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****79

License Status

ACTIVE

Business

First Name

DONALD

Middle

WADE

Last Name

HENDERSON

Suffix

Business Name

DONALD WADE HENDERSON OD

Original Issue Date

09/22/1999

Effective Date

03/20/2024

Expiration Date

03/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026