FREDERIC A BANSER OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****87

License Status

ACTIVE

Business

First Name

FREDERIC

Middle

Last Name

BANSER

Suffix

Business Name

FREDERIC A BANSER OD

Original Issue Date

11/12/1997

Effective Date

02/24/2024

Expiration Date

03/31/2026

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026