ELISE MARIE CORGIAT OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****90

License Status

ACTIVE

Business

First Name

ELISE

Middle

MARIE

Last Name

CORGIAT

Suffix

Business Name

ELISE MARIE CORGIAT OD

Original Issue Date

09/19/2005

Effective Date

03/04/2026

Expiration Date

03/31/2028

City

MORRIS

State

Zip

60450

County

GRUNDY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/04/2026