CRAIG MATTHEW DECLARK Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****90

License Status

ACTIVE

Business

First Name

CRAIG MATTHEW

Last Name

DECLARK

Business Name

CRAIG MATTHEW DECLARK

Original Issue Date

04/17/1996

Effective Date

03/18/2024

Expiration Date

03/31/2026

City

CHICAGO

State

Zip

60630

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026