BRIAN KEITH BOUTON OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****90

License Status

ACTIVE

Business

First Name

BRIAN

Middle

KEITH

Last Name

BOUTON

Suffix

Business Name

BRIAN KEITH BOUTON OD

Original Issue Date

01/22/1999

Effective Date

03/28/2024

Expiration Date

03/31/2026

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026