ANDREA J JOHNSON GROTE Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****90

License Status

ACTIVE

Business

First Name

ANDREA

Middle

Last Name

JOHNSON GROTE

Business Name

ANDREA J JOHNSON GROTE

Original Issue Date

09/19/2001

Effective Date

03/11/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/11/2026