AMANDA EVE SOUKUP OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****90

License Status

ACTIVE

Business

Title

First Name

AMANDA

Middle

EVE

Last Name

SOUKUP

Business Name

AMANDA EVE SOUKUP OD

Original Issue Date

08/19/2024

Effective Date

03/02/2026

Expiration Date

03/31/2028

City

YORKVILLE

State

Zip

60560

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026