JONATHAN D GOULART OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****91

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

Last Name

GOULART

Suffix

Business Name

JONATHAN D GOULART OD

Original Issue Date

09/21/2005

Effective Date

01/09/2026

Expiration Date

03/31/2028

City

ROCKFORD

State

Zip

61108

County

STEPHENSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/09/2026