LACEY LEANN WALK Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****83

License Status

ACTIVE

Business

First Name

LACEY

Middle

LEANN

Last Name

WALK

Business Name

LACEY LEANN WALK

Original Issue Date

09/09/2013

Effective Date

03/06/2026

Expiration Date

03/31/2028

City

VANDALIA

State

Zip

62471

County

FAYETTE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026