TIMOTHY J FAHY Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****83

License Status

ACTIVE

Business

First Name

TIMOTHY J

Last Name

FAHY

Business Name

TIMOTHY J FAHY

Original Issue Date

05/05/2000

Effective Date

03/09/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60634

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/09/2026