MICHAEL G BALGEMANN OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****87

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

BALGEMANN

Suffix

Business Name

MICHAEL G BALGEMANN OD

Original Issue Date

11/30/2000

Effective Date

03/28/2024

Expiration Date

03/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026